Most Relevant Information
Provider Data
| NPI Number: | 1003684192 |
| Provider Name: | IRENE MAH MEBUNE |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | R194779 |
Most Important Dates
| Enumeration Date: | 12/18/2023 |
| Last Updated: | 12/18/2023 |
Provider Practice Location
10407 DAMASCUS PARK LN
DAMASCUS
MD
208722734
Practice Location Phone/Fax
| Phone: | 3016754792 |
| Fax: |
Provider Mailing Location
10407 DAMASCUS PARK LN
DAMASCUS
MD
208722734
Provider Mailing Phone/Fax
| Phone: | 3016754792 |
| Fax: |