LICEMEE MBAMA-MPOLO

ROCHESTER, NY
NPI1285401687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  355355)
Additional Taxonomies163WM0102X Registered Nurse, Maternal Newborn
(Licence: NY  797276)
Enumeration Date2023-12-06
Last Update Date2026-04-08
Business Address
LICEMEE MBAMA-MPOLO
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621-3022
Phone number: 585-922-4496
Mailing Address
LICEMEE MBAMA-MPOLO
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number: