Individual
BALA MICHAEL WAMBEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2910 SOUTH GREENFIELD ROAD, APT. #2085, GILBERT, AZ 85295
(915) 228-0283
Mailing address
2910 SOUTH GREENFIELD ROAD, APT. #2085, GILBERT, AZ 85295
(915) 228-0283
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
226621
AZ
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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