Individual
HELENE AZIMBI FONEBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 GANDHI DR, DURHAM, NC 27703
(919) 496-6111
Mailing address
102N BICKETT BLVD, CVS, LOUISBOURG, NC 27549
(919) 496-6111
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24300
NC
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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