BONGOFA MATE
Licensed Practical Nurse
Active
Individual
NPI: 1801648977
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | PN2885519 (PA) |
Frequently Asked Questions
NPI 1801648977 is the National Provider Identifier for BONGOFA MATE, a Licensed Practical Nurse provider located in Bear, DE. This NPI was enumerated on April 3, 2024.
BONGOFA MATE practices at 138 PORTSIDE CT, Bear, DE 19701.
Quick Facts
- NPI
- 1801648977
- Type
- Individual
- Enumerated
- Apr 3, 2024
- Last Updated
- Apr 3, 2024
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