Organization
ALLEGIANT COMPREHENSIVE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADELINE NDI NUKUNA M.D., PH.D. (PRESIDENT)
(267) 650-7880
Entity
Organization
Contact information
Practice address
700 W LEA BLVD, SUITE 209, WILMINGTON, DE 19802-2500
(302) 384-7639
Mailing address
700 W LEA BLVD, SUITE 209, WILMINGTON, DE 19802-2500
(302) 384-7639
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
D0078430
MD
207VG0400X
Gynecology Physician
Primary
C1-0009130
DE
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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