Individual
PHYLLIS NYAGBONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 WILKINSON BLVD STE C, CHARLOTTE, NC 28208-5539
(980) 335-7511
Mailing address
3600 WILKINSON BLVD STE C, CHARLOTTE, NC 28208-5539
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/23/2019
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