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Individual

NDONGO LIKEMBI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AANP

Contact information

Practice address
8045 HIGHWAY 72 W, SUITE 100, MADISON, AL 35758-9564
(256) 837-2271
(256) 837-2910
Mailing address
8045 HIGHWAY 72 W, SUITE 100, MADISON, AL 35758-9564
(256) 837-2271
(256) 837-2910

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-127063
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-127063
AL BOARD OF NURSING
AL
Enumeration date
10/17/2016
Last updated
10/17/2016
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