MRS. Ethel Mbombow, PA-C
NPI #1801121348 in Eastpointe, Michigan
Provider Information
- NPI Number
- 1801121348
- Entity Type
- Individual
- Name
- MRS. Ethel Mbombow, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Oct 15, 2009
- Last Updated
- Jul 29, 2015
Practice Location
- Address
- 21409 KELLY RD
- Address 2
- SUITE 400
- City
- Eastpointe
- State
- Michigan
- ZIP Code
- 48021-3264
- Phone
- (586) 777-0630
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Internal Medicine |
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