Individual
MABENG LIZETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13016 LAUREL BOWIE RD APT 301, LAUREL, MD 20708-2133
(301) 768-2931
Mailing address
13016 LAUREL BOWIE RD APT 301, LAUREL, MD 20708-2133
(301) 768-2931
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN500006777
DC
Other
Enumeration date
04/03/2023
Last updated
04/05/2023
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