Momodou Mboob
Community/Behavioral Health in Anchorage, AK. Individual provider (NPI-1).
NPI number1639773138
StatusActive
Last updated in NPPESNov 24, 2020
Details
- NPI
- 1639773138
- Entity type
- Individual (NPI-1)
- Name
- Momodou Mboob
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 24, 2020
- Certification date
- Nov 24, 2020
- Last updated
- Nov 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
540 W International Airport RdAnchorage, AK 99518-1105
Phone 907-561-5335
Mailing address
540 W International Airport RdAnchorage, AK 99518-1105
Phone 907-561-5335
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All 134 Community/Behavioral Health Agency providers in Anchorage · All 15,067 providers in Anchorage
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