Organization
IVORY HOLOGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA NJAMBI KAMAU (OWNER/BUSINESS OPERATOR/INVESTOR)
(984) 383-7693
Entity
Organization
Contact information
Practice address
821 WHITE DAISIES CT, RALEIGH, NC 27610-2255
(919) 610-5403
Mailing address
821 WHITE DAISIES CT, RALEIGH, NC 27610-2255
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
305S00000X
Point of Service
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
11/19/2024
Last updated
09/01/2025
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