Individual
MARIBEL YAP MAMONLUK-CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1160 VARNUM ST NE, SUITE008, WASHINGTON, DC 20017-2107
(202) 526-3897
(202) 526-7723
Mailing address
1160 VARNUM ST NE, SUITE008, WASHINGTON, DC 20017-2107
(202) 526-3897
(202) 526-7723
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD 037327
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0403203 00
—
DC
05
—
1518957307
—
VA
Enumeration date
10/24/2005
Last updated
02/15/2009
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