Individual
IRENE KABUYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
392 MANSFIELD DR, SLIDELL, LA 70458-7318
(504) 919-7501
Mailing address
392 MANSFIELD DR, SLIDELL, LA 70458-7318
(504) 919-7501
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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