Individual
GRETHA NGOMA BANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6133 THE PLZ, CHARLOTTE, NC 28215-2401
(704) 887-3840
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1907
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020129050
NC
Other
Enumeration date
04/19/2021
Last updated
10/21/2024
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