Individual
CHISOM MIRABEL MBACHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6930 TREELINE DR, BRECKSVILLE, OH 44141-3371
(312) 761-3057
Mailing address
5706 ALBER AVE, PARMA, OH 44129-3331
(440) 482-3129
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0032659
OH
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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