Individual provider · Type 1 NPI
Jacqueline M. Mondji Mamba
Driver · Bolingbrook, IL
NPI number
1720316706
Active
Practice location
1475 Basswood Dr
Bolingbrook, IL 60490-5419
Fax (630) 759-0327
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
3 other providers at this address
Other driver providers in Bolingbrook
About NPI 1720316706
Jacqueline M. Mondji Mamba's National Provider Identifier is 1720316706, issued on Dec 2, 2009. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Bolingbrook, IL. The record was last updated on Dec 2, 2009.