SALOME MBOH BASEBANG

MESQUITE, TX
NPI1346738010
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP142942)
Additional Taxonomies163W00000X Registered Nurse
(Licence: TX  825443)
Enumeration Date2018-04-27
Last Update Date2020-04-13
Business Address
SALOME MBOH BASEBANG
629 N TOWN EAST BLVD APT 120
MESQUITE, TX 75150-8342
Phone number: 214-325-0716
Mailing Address
SALOME MBOH BASEBANG
629 N TOWN EAST BLVD APT 120
MESQUITE, TX 75150-8342
Phone number: 214-325-0716