Individual
PATRON NDAYAMBAJE ZAKARIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5007 CHARITON DR, COLUMBIA, MO 65202-2993
(616) 323-4808
Mailing address
5007 CHARITON DR, COLUMBIA, MO 65202-2993
(616) 323-4808
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D211311004
MO
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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