Individual
MISS BRIDGET MBU MBENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1109 VININGS WAY, NEWARK, DE 19702-7616
(716) 903-8088
Mailing address
1109 VININGS WAY, NEWARK, DE 19702-7616
(716) 903-8088
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0009982
DE
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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