ANTHONY MICHAEL BALBOSA

PORTAGE, IN
NPI1235963851
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2024-08-27
Last Update Date2024-08-27
Business Address
ANTHONY MICHAEL BALBOSA
901 CAMELOT MNR
PORTAGE, IN 46368-5309
Phone number: 219-614-4748
Mailing Address
ANTHONY MICHAEL BALBOSA
901 CAMELOT MNR
PORTAGE, IN 46368-5309
Phone number: 219-614-4748