MIRABEL TIBUJI MAMBO

ELK RIVER, MN
NPI1639888092
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN  9433)
Enumeration Date2022-11-15
Last Update Date2022-11-15
Business Address
Mrs. MIRABEL TIBUJI MAMBO
19097 BALDWIN ST NW
ELK RIVER, MN 55330-2813
Phone number: 763-328-4738
Mailing Address
Mrs. MIRABEL TIBUJI MAMBO
19097 BALDWIN ST NW
ELK RIVER, MN 55330-2813
Phone number: 763-328-4738