DAVID ETHAN MAMBU

JACKSONVILLE, FL
NPI1295601516
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  9494614)
Enumeration Date2025-10-14
Last Update Date2025-10-14
Business Address
DAVID ETHAN MAMBU
2413 FALLEN TREE DR W
JACKSONVILLE, FL 32246-4141
Phone number: 571-330-4633
Mailing Address
DAVID ETHAN MAMBU
2413 FALLEN TREE DR W
JACKSONVILLE, FL 32246-4141
Phone number: