Individual
ERNESTINE MAMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 7TH AVE, ANOKA, MN 55303-4516
(651) 431-5000
Mailing address
13100 BITTERSWEET ST NW, MINNEAPOLIS, MN 55448-1210
(651) 408-5286
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP4350
MN
Other
Enumeration date
04/21/2016
Last updated
04/25/2017
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