NPI 1063106037
Faustin Mbama
Practice location
- Address
- 57 Flinton Run, Churchville, NY 14428-9651
- Phone
- (585) 284-6394
Registered specialties (2)
Transportation Broker
Primary
Registry record
- NPI
- 1063106037
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Jun 2023
- Record last updated
- 5 Jun 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.