Individual
MRS. GLORY MBONG-NGWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2244 EXECUTIVE DR, HAMPTON, VA 23666-2430
(757) 240-2410
Mailing address
3148 POPLAR HILL RD # 2, CHESAPEAKE, VA 23321-5550
(757) 228-2584
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024178723
VA
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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