BONGOFA PATRICK MATE

BEAR, DE
NPI1801648977
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: PA  PN2885519)
Enumeration Date2024-04-03
Last Update Date2024-04-03
Business Address
BONGOFA PATRICK MATE
138 PORTSIDE CT
BEAR, DE 19701-2431
Phone number: 267-902-1606
Mailing Address
BONGOFA PATRICK MATE
138 PORTSIDE CT
BEAR, DE 19701-2431
Phone number: 267-902-1606