IndividualActive
Alexandre Mavungo
NPI 1720962962 · Driver · South Portland, ME
Provider details
- NPI number
- 1720962962
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8644349 (ME)
Practice location
54 Hillcrest Ave
South Portland, ME 04106-6821
Phone: (207) 245-8881
Mailing address
54 Hillcrest Ave
South Portland, ME 04106-6821
Registry dates
- Enumerated
- 2025-08-01
- Last updated
- 2025-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.