Individual
GISELLE MUMAYAMONA BWENSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 HAWTHORNE LN, YOUNGSVILLE, NC 27596-2083
(919) 400-1181
Mailing address
8012 WILLOWGLEN DR, RALEIGH, NC 27616-3324
(919) 400-1181
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
NC
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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