Individual
SLYVINE M BAMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 8TH ST S STE 3, MOORHEAD, MN 56560-3606
(218) 284-1800
(218) 600-5484
Mailing address
1401 8TH ST S STE 3, MOORHEAD, MN 56560-3606
(218) 600-5484
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172A00000X
Driver
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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