Organization
GILEAD MEDICAL AND WELLNESS CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEYNADOMNICIA UDENZE NP (OWNER)
(214) 727-8681
Entity
Organization
Contact information
Practice address
500 BENSON RD STE 115, GARNER, NC 27529-3947
(214) 727-8681
(984) 246-2005
Mailing address
500 BENSON RD STE 115, GARNER, NC 27529-3947
(214) 727-8681
(984) 246-2005
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
07/06/2021
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