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 4 years ago
Practice Location
209 SHORT ST
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
Toxanomy
Taxonomy Code 103TF0200X
License State
License Number
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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.