NPI 1366952277

Elias Che Mbonifor

Practitioner Driver Wichita, KS

Practice location

Address: 624 S Eastern St APT 201, Wichita, KS 67207-2462
Phone: (310) 651-0772

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence D8723655 (CA)

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Registry record

NPI: 1366952277
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2017
Record last updated: 5 Oct 2017

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.