Individual
FAUSTIN KALAMBAY MAMBULU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
GEISINGER WYOMING VALLEY MEDICAL CENTER, 1000 E MOUNTAIN DRIVE, WILKES-BARRE, PA 18711
(570) 808-3746
(570) 808-5967
Mailing address
100N ACADEMY AVE, DANVILLE, PA 17822
(570) 214-5349
(570) 808-5967
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
10/25/2023
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