Obatala Ombu M.A.

NPI 1184969347 - Psychologist - 103TF0200X

NPI Details
NPI 1184969347
Gender Male
Enumeration Date 11/29/2012
Last Updated 11/29/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
KINGSTREE SC, 29556-3926, US
Phone (843) 372-5959
Fax (843) 355-7746
Business Location
PO BOX 697
KINGSTREE SC, 29556-0697, US
Phone (843) 355-2772
Fax (843) 355-7746
Taxonomy Code 103TF0200X
License State
License Number
Remove 1184969347 NPI Number

According to our database, Obatala Ombu M.A. NPI is 1184969347, taxonomy code is 103TF0200X Obatala Ombu M.A. physically located at 209 Short St, Kingstree SC, 29556-3926. NPI Number Obatala Ombu M.A. has the Individual type.

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1184969347 NPI number is provided on an as is basis without warranty of any kind. 1184969347 is maintained by the National Plan & Provider Enumeration System. The contents of Obatala Ombu M.A. are for informational purposes only.