Individual
FATMA KIBODYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 LINDSAY RD, SPRINGFIELD, MA 01128-1187
(413) 896-2069
Mailing address
10 LINDSAY RD, SPRINGFIELD, MA 01128-1187
(413) 896-2069
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
S44244984
MA
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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