Individual
MAYBELLE MBIATEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 W FOSTER ST, MELROSE, MA 02176-3847
(617) 935-8829
Mailing address
1 W FOSTER ST, MELROSE, MA 02176-3847
(617) 935-8829
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2266707
MA
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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