MRS. Jacqueline M Mondji Mamba
NPI #1720316706 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1720316706
- Entity Type
- Individual
- Name
- MRS. Jacqueline M Mondji Mamba
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Driver
- Enumeration Date
- Dec 2, 2009
- Last Updated
- Dec 2, 2009
Practice Location
- Address
- 1475 BASSWOOD DR
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60490-5419
- Phone
- (630) 759-4232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Driver |
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