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Organization
MAYBELLE MBIATEM LLC
Active
Organization
MAYBELLE MBIATEM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYBELLE MBIATEM (OWNER)
(781) 905-6420
Entity
Organization
Contact information
Practice address
1 W FOSTER ST STE 2, MELROSE, MA 02176-3879
(617) 935-8829
Mailing address
1 W FOSTER ST STE 2, MELROSE, MA 02176-3879
(781) 905-6420
(661) 215-0958
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/14/2026
Last updated
10/15/2026
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