Individual
MRS. GLADYS GRACE TIWONGE KAMANGA-SOLLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1723 BROADWAY ST, SUITE 410, CAPE GIRARDEAU, MO 63701-4566
(573) 332-7746
(573) 339-9709
Mailing address
1723 BROADWAY ST, SUITE 410, CAPE GIRARDEAU, MO 63701-4566
(573) 332-7746
(573) 339-9709
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2015011346
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015011346
MO STATE LICENSE
MO
Enumeration date
03/23/2011
Last updated
01/21/2026
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