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Individual

FRED MBEWE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
111 HAZEL LN STE 300, SEWICKLEY, PA 15143-1253
(412) 749-7330
Mailing address
111 HAZEL LN STE 300, SEWICKLEY, PA 15143-1253
(412) 749-7330

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN635490
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
251801532
VALLEY MEDICAL FACILITIES, INC
PA
Enumeration date
11/28/2022
Last updated
11/28/2022
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