Individual
AGNES MBILAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11651 NORBOURNE DR APT 1007, CINCINNATI, OH 45240-4459
(513) 238-4093
Mailing address
11651 NORBOURNE DR APT 1007, CINCINNATI, OH 45240-4459
(513) 238-4093
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
379204
OH
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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