AMBONI HEALTHSOURCE LLC

RICHMOND, TX
NPI1073136800
Entity TypeOrganization
Authorized ContactPROSPER KISWAGA
Md
214-830-9906
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2020-05-27
Last Update Date2024-06-13
Business Address
AMBONI HEALTHSOURCE LLC
25630 FARRIER DR
RICHMOND, TX 77406-1468
Phone number: 214-830-9906
Mailing Address
AMBONI HEALTHSOURCE LLC
25630 FARRIER DR
RICHMOND, TX 77406-1468
Phone number: 214-830-9906