Individual
MR. MOSES MBOGO MIHINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 W HILLSIDE DR, SYRACUSE, IN 46567-1803
(260) 348-0865
Mailing address
309 W HILLSIDE DR, SYRACUSE, IN 46567-1803
(260) 348-0865
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88-0967440
—
IN
Enumeration date
03/12/2022
Last updated
03/12/2022
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