Individual
MISS CATHERINE CAROLINE MBOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2810 W WATERS AVE, TAMPA, FL 33614-1853
(813) 935-5501
Mailing address
538 RAPID FALLS DR, BRANDON, FL 33511-7548
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11000381
FL
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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