Chota Mambwe
Licensed Practical Nurse in Bronx, NY. Individual provider (NPI-1).
NPI number1669924775
StatusActive
Last updated in NPPESOct 25, 2016
Details
- NPI
- 1669924775
- Entity type
- Individual (NPI-1)
- Name
- Chota Mambwe
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 25, 2016
- Last updated
- Oct 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 326991 | NY | Yes |
Practice location
801 E 241st StBronx, NY 10470-1303
Phone 718-671-2100
Mailing address
801 E 241st StBronx, NY 10470-1303
Phone 718-671-2100
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