THIMOTEE ILBOUDO

COLCORD, OK
NPI1093163024
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2016-05-31
Last Update Date2022-07-04
Business Address
THIMOTEE ILBOUDO
3198 HIGHWAY 412 STE B
COLCORD, OK 74338-1356
Phone number: 479-365-7096
Mailing Address
THIMOTEE ILBOUDO
3198 HIGHWAY 412 STE B206
COLCORD, OK 74338-1356
Phone number: 479-365-7096