JABRILL OMAR JIMAALE

FORT WORTH, TX
NPI1912539024
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: MN  T950225934414)
Enumeration Date2020-02-06
Last Update Date2020-02-06
Business Address
JABRILL OMAR JIMAALE
5725 E LANCASTER AVE
FORT WORTH, TX 76112-6528
Phone number: 817-851-1663
Mailing Address
JABRILL OMAR JIMAALE
5725 E LANCASTER AVE
FORT WORTH, TX 76112-6528
Phone number: 817-851-1663