Black Panther 4 Vip LLC

NPI #1679317549 in Franklin, Wisconsin

Provider Information

NPI Number
1679317549
Entity Type
Organization
Organization Name
Black Panther 4 Vip LLC
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Jun 24, 2024
Last Updated
Jun 24, 2024

Practice Location

Address
5561 W COBBLESTONE WAY UNIT C
ZIP Code
53132-7521
Phone
(414) 394-8946

Authorized Official

Name
MR. GHASSAN JABER
Title
OWNER
Phone
(414) 394-8946

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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