MR. Prince Mabiala

NPI #1124384045 in Tucson, Arizona

Provider Information

NPI Number: 1124384045
Entity Type: Individual
Name: MR. Prince Mabiala
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Private Vehicle
Enumeration Date: Apr 4, 2012
Last Updated: Apr 4, 2012

Practice Location

Address: 2575 N COUNTRY CLUB RD APT A4
City: Tucson
State: Arizona
ZIP Code: 85716-2501
Phone: (520) 808-3775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Non-emergency Medical Transport (VAN)	343900000X
Private Vehicle	347C00000X	Primary

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