Individual
MR. DONATIEN NDOUNGWA NTENNOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
638 INDEPENDENCE PKWY STE 240, CHESAPEAKE, VA 23320-5222
(757) 965-5886
Mailing address
638 INDEPENDENCE PKWY STE 240, CHESAPEAKE, VA 23320-5222
(757) 965-5886
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024191144
VA
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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