Individual
RODOLFO PANCUBILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 CREEKSIDE DR, CROWN POINT, IN 46307-8215
(219) 669-0591
Mailing address
PO BOX 849, CROWN POINT, IN 46308-0849
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IN
Other
Enumeration date
09/23/2017
Last updated
09/23/2017
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