Individual provider · NPI-1

Gatwech Chuol Manguet

Non-emergency Medical Transport (VAN) · Bowling Green, KY

NPI number1376198663
StatusActive
Last updated in NPPESAug 5, 2019

Details

NPI
1376198663
Entity type
Individual (NPI-1)
Name
Gatwech Chuol Manguet
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 5, 2019
Last updated
Aug 5, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)––Yes

Practice location

851 Fields Dr Apt 331c
Bowling Green, KY 42104-5360

Phone 270-392-4568

Mailing address

851 Fields Dr Apt 331c
Bowling Green, KY 42104-5360

Phone 270-392-4568

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