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Individual

KEZIA MGANGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
200 N ANTLERS PL # 200, BEAR, DE 19701-2767
(469) 438-9587
Mailing address
15 PRESTBURY SQ STE 15, NEWARK, DE 19713-2608
(302) 533-6331

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
230916
TN

Other

Enumeration date
04/22/2020
Last updated
04/22/2020
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