Individual
KALUBA BWALYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
491 WABASH PL, O FALLON, MO 63366-2671
(651) 434-2229
Mailing address
491 WABASH PL, O FALLON, MO 63366-2671
(651) 434-2229
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
148509
MO
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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