Individual
CLARE IME MBANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 E 8TH AVE, SPOKANE, WA 99202-1201
(509) 474-5678
Mailing address
5460 BABCOCK RD STE 120, SAN ANTONIO, TX 78240-3400
(210) 996-5777
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1086771
TX
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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