Tracy Mumbulo

NPI #1699130963 in Jber, Alaska

Provider Information

NPI Number
1699130963
Entity Type
Individual
Name
Tracy Mumbulo
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Dec 30, 2015
Last Updated
Dec 30, 2015

Practice Location

Address
208 AKUTAN AVE UNIT A
City
Jber
State
Alaska
ZIP Code
99505
Phone
(919) 888-2291

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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