Individual
PATRICK MWONYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6473 INDEPENDENCE CT, PENDLETON, IN 46064-8524
(732) 991-7056
Mailing address
6473 INDEPENDENCE CT, PENDLETON, IN 46064-8524
(732) 991-7056
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263
—
IN
Enumeration date
06/17/2016
Last updated
06/17/2016
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