AMAZIAH D LAMUMBA- CARROLL

LAS VEGAS, NV
NPI1720724156
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2022-05-09
Last Update Date2022-05-09
Business Address
AMAZIAH D LAMUMBA- CARROLL BA
4285 N RANCHO DR STE 130
LAS VEGAS, NV 89130-3455
Phone number: 702-385-5331
Mailing Address
AMAZIAH D LAMUMBA- CARROLL BA
10100 ELIDA RD
DELPHOS, OH 45833-9056
Phone number: 419-695-8010
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