Individual
MBUYI KALEMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
765 MAIN ST STE AND101, MONROE, CT 06468-2810
(203) 261-5230
(203) 261-5231
Mailing address
765 MAIN ST, MONROE, CT 06468-2810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6729
CT
Other
Enumeration date
05/28/2024
Last updated
10/02/2024
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