Jacqueline Mambo-Mbanya

NPI #1710589304 in Waco, Texas

Provider Information

NPI Number: 1710589304
Entity Type: Individual
Name: Jacqueline Mambo-Mbanya
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 10, 2020
Last Updated: Nov 10, 2020

Practice Location

Address: 600 HEWITT DR
City: Waco
State: Texas
ZIP Code: 76712-6654
Phone: (254) 666-7429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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