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1811250905
ANGEL VIVIAN MBOME
SILVER SPRING, MD
NPI
1811250905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R217061)
Enumeration Date
2012-06-22
Last Update Date
2023-11-27
Business Address
ANGEL VIVIAN MBOME CRNP, PMHNP
801 WAYNE AVE STE G100
SILVER SPRING, MD 20910-4493
Phone number: 301-615-8752
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Mailing Address
ANGEL VIVIAN MBOME CRNP, PMHNP
801 WAYNE AVE STE G100
SILVER SPRING, MD 20910-4493
Phone number: 301-615-8752
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