Individual
MR. HIBOOMBE M HAAMANKULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP-BC
Contact information
Practice address
185 MITYLENE PARK LANE, MONTGOMERY, AL 36117
(334) 387-0948
(334) 387-0955
Mailing address
185 MITYLENE PARK LANE, MONTGOMERY, AL 36117
(334) 387-0948
(334) 387-0955
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-111413
AL
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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