Individual
LINDA AWUNG ASONGAYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4235 DICKENS PLACE DR W, SOUTHAVEN, MS 38672-8157
(901) 799-3902
Mailing address
4235 DICKENS PLACE DR W, SOUTHAVEN, MS 38672-8157
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
907101
MS
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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