Individual
BENTU BAMBARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 MCALISTER ST, CEDAR HILL, TX 75104-4903
(646) 286-1773
Mailing address
1805 MCALISTER ST, CEDAR HILL, TX 75104-4903
(646) 286-1773
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
334657
TX
Other
Enumeration date
02/18/2018
Last updated
02/18/2018
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