Provider Demographics
NPI:1578453858
Name:MBETEM, MBOWOH ZINKENG
Entity type:Individual
Prefix:
First Name:MBOWOH
Middle Name:ZINKENG
Last Name:MBETEM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:496 ANDRE LN APT 104
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-6536
Mailing Address - Country:US
Mailing Address - Phone:513-225-0852
Mailing Address - Fax:
Practice Address - Street 1:496 ANDRE LN APT 104
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-6536
Practice Address - Country:US
Practice Address - Phone:513-225-0852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker