Individual
MR. KING HAMAZONGO MATULULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
455 E BRUCETON RD, PLEASANT HILLS, PA 15236-4538
(412) 653-9515
(412) 653-9520
Mailing address
557 HI TOR DR, PITTSBURGH, PA 15236-4203
(412) 260-4580
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP023478
PA
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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