Individual
PANDWE A KALALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3511 SHANNON RD, DURHAM, NC 27707-6330
(919) 482-1228
Mailing address
902 PEBBLESTONE DR, DURHAM, NC 27703-7193
(919) 482-1228
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
203825
NC
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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