Individual
TAVONTE JAMAL HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1329 RUTLEDGE ST, GARY, IN 46404-2244
(219) 689-3817
Mailing address
1329 RUTLEDGE ST, GARY, IN 46404-2244
(219) 689-3817
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1670514124
IN
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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