NPI 1124384045

Prince Mabiala

Practitioner Private Vehicle Tucson, AZ

Practice location

Address: 2575 N Country Club Rd APT A4, Tucson, AZ 85716-2501
Phone: (520) 808-3775
Fax: (520) 748-2355

Registered specialties (4)

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence ATN9038 (AZ)

Other Private Vehicle providers in Arizona →

Non-emergency Medical Transport (VAN)

Transportation Services Taxonomy 343900000X

Other Non-emergency Medical Transport (VAN) providers in Arizona →

Private Vehicle

Transportation Services Taxonomy 347C00000X Licence APF8708 (AZ)

Private Vehicle

Transportation Services Taxonomy 347C00000X Licence AVF9340 (AZ)

Registry record

NPI: 1124384045
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Apr 2012
Record last updated: 4 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.