ELIAS MBONIFOR

Driver

NPI: 1366952277Individual

Specialties, Licenses & Credentials

DriverPrimary

Driver

Code: 172A00000X

D8723655(CA)

Contact & Hours

Address: 624 S EASTERN ST APT 201
WICHITA, KS 67207
Phone: (310) 651-0772

Quick Facts

NPI: 1366952277
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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