Individual
MOMODOU MBOOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
540 W INTERNATIONAL AIRPORT RD, ANCHORAGE, AK 99518-1105
(907) 561-5335
Mailing address
540 W INTERNATIONAL AIRPORT RD, ANCHORAGE, AK 99518-1105
(907) 561-5335
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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