TAVONTE JAMAL HUGHES

GARY, IN
NPI1902583636
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: IN  1670514124)
Enumeration Date2023-07-04
Last Update Date2023-07-04
Business Address
TAVONTE JAMAL HUGHES
1329 RUTLEDGE ST
GARY, IN 46404-2244
Phone number: 219-689-3817
Mailing Address
TAVONTE JAMAL HUGHES
1329 RUTLEDGE ST
GARY, IN 46404-2244
Phone number: 219-689-3817
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