Mambo, Mirabel Tibuji
Mambo, Mirabel Tibuji is an sole proprietor health care provider with primary practice located at 19097 Baldwin St Nw , Elk River MN 55330-2813. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mambo, Mirabel Tibuji can be contacted via phone (763) 328-4738.Contact Information
Primary practice address
19097 Baldwin St Nw
Elk River MN 55330-2813
Phone: (763) 328-4738
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 9433 | Minnesota |
Profile Details
| NPI number | 1639888092 |
|---|---|
| LBN Legal business name | Mambo, Mirabel Tibuji |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2022 |
| Last updated | Nov 15th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Lujanac, John M.
107 Church Hill Rd , Sandy Hook CT 06482-1194 -
Brashear, Janice L
510 Spring St , Jeffersonville IN 47130-3554 -
Paris, Scott
8910 Main St E , Bonney Lake WA 98391-8988 -
Nwunasi, Shuri Loveline
17607 Grant St Nw , Elk River MN 55330-7056 -
Pavlick, Sherryl D
575 Coal Valley Rd Ste 407, Clairton PA 15025-3726 -
Porter, Jennifer Rose
120 Labree Ave S , Thief River Falls MN 56701-2819 -
Johnsrud, Rozlynn O'Lee
120 Labree Ave S , Thief River Falls MN 56701-2819 -
Honeycutt, Mary Ann
7293 Dumosa Ave Ste 8 , Yucca Valley CA 92284-3700