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Individual

JOJO KIENGA PAKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1449 FREEWAY DR STE F, REIDSVILLE, NC 27320-7122
(336) 280-0595
Mailing address
103 MEMORIAL CT, CLAYTON, NC 27520-4222
(919) 670-6723

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024187580
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5018253
NC

Other

Enumeration date
06/14/2023
Last updated
02/29/2024
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