Individual provider · Type 1 NPI

Komitse Gbohla

Private Vehicle · Moline, IL

NPI number 1487444246 Active

Practice location

3534 70th St Apt 302
Moline, IL 61265-8236

Call (310) 866-5446 Map

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XNone listed

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

About NPI 1487444246

Komitse Gbohla's National Provider Identifier is 1487444246, issued on May 7, 2025. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Moline, IL. The record was last updated on May 21, 2025.