NPI 1245051887

Esaie Momgbet

Practitioner Peer Specialist Mattoon, IL

Practice location

Address: 750 Broadway Ave E, Mattoon, IL 61938-4610
Phone: (217) 238-5700

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1245051887
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Oct 2024
Record last updated: 17 Oct 2024

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.