Individual
BONANE AMOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1929 REVOLUTIONARY WAY APT 1204, FORT WORTH, TX 76119-1406
(817) 941-4462
Mailing address
1929 REVOLUTIONARY WAY APT 1204, FORT WORTH, TX 76119-1406
(817) 941-4462
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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