Individual provider · NPI-1
Maureen C Mbamalu, RN
Home Health Aide · Concord, NC
NPI number1982926630
StatusActive
Last updated in NPPESFeb 23, 2010
Details
- NPI
- 1982926630
- Entity type
- Individual (NPI-1)
- Name
- Maureen C Mbamalu
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 23, 2010
- Last updated
- Feb 23, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | HC4025 | NC | Yes |
Practice location
1 Buffalo Ave NwConcord, NC 28025-4417
Phone 704-965-4946
Mailing address
1 Buffalo Ave NwConcord, NC 28025-4417
Phone 704-965-4946
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