Most Relevant Information
Provider Data
| NPI Number: | 1003646753 |
| Provider Name: | LAWUO MULBAH |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/06/2024 |
| Last Updated: | 10/13/2024 |
Provider Practice Location
1018 44TH AVE W
WEST FARGO
ND
580788293
Practice Location Phone/Fax
| Phone: | 7017304288 |
| Fax: |
Provider Mailing Location
1018 44TH AVE W
WEST FARGO
ND
580788293
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |