Individual
DR. ROSE-MARY MBIBONG-MABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213EP0504X
Public Medicine Podiatrist
POD001234
GA
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
POD001234
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
POD001234
GA
Other
Enumeration date
05/22/2014
Last updated
01/10/2024
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