IRENEE ABONEGI LEBUABANGA

GRAND PRAIRIE, TX
NPI1942818786
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2020-07-17
Last Update Date2020-07-17
Business Address
Mr. IRENEE ABONEGI LEBUABANGA
2669 GRAND COLONIAL ST
GRAND PRAIRIE, TX 75054-0258
Phone number: 817-992-9138
Mailing Address
Mr. IRENEE ABONEGI LEBUABANGA
2669 GRAND COLONIAL ST
GRAND PRAIRIE, TX 75054-0258
Phone number: 817-992-9138