Individual
CHARLES HENRI MBALA ONDOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
13719 LORAIN AVE, CLEVELAND, OH 44111-3439
(216) 307-3005
(216) 710-5360
Mailing address
13719 LORAIN AVE, CLEVELAND, OH 44111-3439
(216) 307-3005
(216) 710-5360
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
020795
OH
Other
Enumeration date
05/15/2017
Last updated
10/25/2024
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