Individual
MS. DEBRA N/A MAMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
21 SAND TRAP DR, ROYERSFORD, PA 19468-1347
(267) 975-6514
Mailing address
21 SAND TRAP DR, ROYERSFORD, PA 19468-1347
(267) 975-6514
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SPO25773
PA
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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