Individual
ALLAN VICTOR FUNGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1419 NE VIVION RD APT 34, KANSAS CITY, MO 64118-5961
(631) 365-5062
Mailing address
1419 NE VIVION RD APT 34, KANSAS CITY, MO 64118-5961
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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