Individual
EVITA NANGMENYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DR.
Contact information
Practice address
7201 KNIGHTDALE BLVD, KNIGHTDALE, NC 27545-9268
(919) 266-7600
Mailing address
207 HARDWICK ST, CLAYTON, NC 27527-6753
(419) 245-4702
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30764
NC
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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