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Organization
GILEAD MEDICAL AND WELLNESS CLINIC, PLLC
Active
Organization
GILEAD MEDICAL AND WELLNESS CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEYNADOMNICIA UDENZE NP (OWNER)
(214) 727-8681
Entity
Organization
Contact information
Practice address
500 BENSON RD STE 115, GARNER, NC 27529-3947
(214) 727-8681
(984) 246-2005
Mailing address
500 BENSON RD STE 115, GARNER, NC 27529-3947
(214) 727-8681
(984) 246-2005
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
07/06/2021
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