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NPI 1801648977

IndividualActive

Bongofa Mate

NPI 1801648977 · Licensed Practical Nurse · Bear, DE

Provider details

NPI number: 1801648977
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Sex: Male
Sole proprietor: Yes
License: PN2885519 (PA)

Practice location

138 Portside Ct

Bear, DE 19701-2431

Phone: (267) 902-1606

More DE providers

Mailing address

138 Portside Ct

Bear, DE 19701-2431

Registry dates

Enumerated: 2024-04-03
Last updated: 2024-04-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bongofa Mate — NPI 1801648977, Bear, DE | NPI Central