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NPI Profile for MUTIAT B BAMGBALA in LEXINGTON, NC.
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Private Vehicle |
347C00000X | |||
Transportation Network Company |
342000000X |
| NPI Number | 1205528635 |
|
| Status | Active | |
| Credentials | PROVIDER | |
| Entity | Individual | |
| Enumeration date | 05/24/2023 | |
| Last updated | 10/06/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MUTIAT B BAMGBALA
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MUTIAT B BAMGBALA, PROVIDER