Individual
ONYA KASONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3113 BUCKLEIGH DR, CHARLOTTE, NC 28215-7610
(704) 909-9009
Mailing address
3113 BUCKLEIGH DR, CHARLOTTE, NC 28215-7610
(704) 909-9009
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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