Individual
JACQUES NZABONIMPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12013 PARKSIDE VISTA LN, LOUISVILLE, KY 40229-6517
(804) 519-2681
Mailing address
12013 PARKSIDE VISTA LN, LOUISVILLE, KY 40229-6517
(804) 519-2681
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
N22-531-893
KY
Other
Enumeration date
06/15/2023
Last updated
06/20/2023
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