Kristine Willoughby
Kristine Willoughby is a Private Vehicle in South Bend, Indiana. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
505 S 25th StSouth Bend, IN 46615-2117
Phone: (574) 217-5997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Transportation Broker (primary) | Taxonomy 347E00000X |
|---|---|
| Private Vehicle | Taxonomy 347C00000X |
Record details
| NPI number | 1326676024 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 29, 2020 |
| Last updated in NPPES | March 29, 2020 |
| Certification date | March 29, 2020 |
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