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Mutiat B Bamgbala, PROVIDER
Private Vehicle in Lexington, North Carolina
NPI 1205528635

Mutiat B Bamgbala is a Private Vehicle based in Salisbury, NC. Mutiat B Bamgbala practices in Lexington, NC and has the professional credentials of PROVIDER. The NPI Number for Mutiat B Bamgbala is 1205528635 and holds a License No. 000048761695 (North Carolina).

The current practice location address for Mutiat B Bamgbala is 254 Ashfield Ln, Lexington, NC and can be reached out via phone at 860-986-0003.

Location: 254 Ashfield Ln, Lexington, NC, 28146-7007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205528635
Provider Name
Mutiat B Bamgbala
Credential
PROVIDER
Provider Entity Type
Individual
Gender
Female
Address
254 Ashfield Ln, Lexington, NC, 28146-7007
Phone Number
860-986-0003
Fax Number
Provider Enumeration Date
05/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
254 Ashfield Ln
City
Lexington
State
North Carolina
Zip
27292-8348
Phone Number
860-986-0003
Fax Number
person
Provider Business Mailing Address Details
Address
254 Ashfield Ln
City
Lexington
State
North Carolina
Zip
27292-8348
Phone Number
860-986-0003
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Transportation Network Company
Speciality
-
Taxonomy
342000000X
License No.
000048761695 (North Carolina)
Definition
A ride-sharing company that provides prearranged or contracted non-emergency medical transportation services to patients through mobile or online technology.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
000048761695 (North Carolina)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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