Individual
GENEVIEVE FONJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 RESERVOIR RD, BURNSVILLE, NC 28714-3321
(828) 682-6171
Mailing address
1625 E 12TH ST APT M, WINSTON SALEM, NC 27101-1721
(980) 616-6676
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29317
NC
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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