Michelle Larissa Mbapou Mfabo

NPI #1396287595 in Burtonsville, Maryland

Provider Information

NPI Number: 1396287595
Entity Type: Individual
Name: Michelle Larissa Mbapou Mfabo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 6, 2016
Last Updated: Nov 6, 2016

Practice Location

Address: 4332 REGALWOOD TER
City: Burtonsville
State: Maryland
ZIP Code: 20866-2215
Phone: (240) 476-3821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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