Individual
DR. JEAN BAPTISTE MUGABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10239 SOUTHERWICK PLACE, JOHNSTON, IA 50131
(515) 418-5807
Mailing address
10239 SOUTHERWICK PLACE, JOHNSTON, IA 50131
(515) 418-5807
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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