Most Relevant Information
Provider Data
| NPI Number: | 1003411448 |
| Provider Name: | BENJAMIN MUSAJA KITOBO |
| Entity Type: | Individual |
| Taxonomy Code: | 253Z00000X |
| Specialty: | In Home Supportive Care |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/03/2020 |
| Last Updated: | 12/03/2020 |
Provider Practice Location
345 PHOENIX DR
SAINT LOUIS
MO
631292644
Practice Location Phone/Fax
| Phone: | 3144820861 |
| Fax: |
Provider Mailing Location
345 PHOENIX DR
SAINT LOUIS
MO
631292644
Provider Mailing Phone/Fax
| Phone: | 3144820861 |
| Fax: |