Individual
MR. EFIONG E. MBABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
804 COMMERCE BLVD, SUITE A-32, RIVERDALE, GA 30296-3321
(770) 907-0194
(770) 907-0195
Mailing address
804 COMMERCE BLVD, SUITE A-32, RIVERDALE, GA 30296-3321
(770) 907-0194
(770) 907-0195
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
06-19916
GA
Other
Enumeration date
05/23/2007
Last updated
04/08/2008
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