FATU BANGURA

IRVINGTON, NJ
NPI1912572934
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
Additional Taxonomies251X00000X Supports Brokerage
305S00000X Point of Service
Enumeration Date2021-05-21
Last Update Date2021-05-21
Business Address
FATU BANGURA
65-67 MELVILLE PLACE
IRVINGTON, NJ 07111
Phone number: 862-777-3526
Mailing Address
FATU BANGURA
65-67 MELVILLE PLACE
IRVINGTON, NJ 07111
Phone number: 862-777-3526