# JOELLE M MENGANG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629389184
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036134016 | IL | — |
| 207Q00000X | Family Medicine Physician | 2015-02157 | NC | — |
| 207Q00000X | Family Medicine Physician | 39066 | SC | — |
| 207Q00000X | Family Medicine Physician | 40773 | IA | — |
| 207Q00000X | Family Medicine Physician | C1-0026573 | DE | Yes |

## Other

- **Enumeration date:** 06/29/2010
- **Last updated:** 07/15/2024