Individual provider · Type 1 NPI

Prince Mabiala

Private Vehicle · Tucson, AZ

NPI number 1124384045 Active

Practice location

2575 N Country Club Rd Apt A4
Tucson, AZ 85716-2501

Fax (520) 748-2355

Specialties and licenses

TaxonomyCodeLicense
Non-emergency Medical Transport (VAN) 343900000XNone listed
Private Vehicle Primary 347C00000XATN9038 (AZ)
Private Vehicle 347C00000XAPF8708 (AZ)
Private Vehicle 347C00000XAVF9340 (AZ)

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

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About NPI 1124384045

Prince Mabiala's National Provider Identifier is 1124384045, issued on Apr 4, 2012. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Tucson, AZ. The record was last updated on Apr 4, 2012.