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Agnes Mamboleo
NPI 1750926630 · on the registry since 2019
Practice
- Address
- 4921 Woodmeadow Dr
Fort Worth, TX 76135 - Phone
- (301) 204-6081
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-11-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas