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Individual

NONTOBEKO MANDISA RANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
667 KINGSBOROUGH SQ STE 200, CHESAPEAKE, VA 23320-4999
(757) 436-0167
Mailing address
336 QUINCY ST, FAIRFIELD, CT 06824-6633
(203) 556-8987

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001323953
VA
163W00000X
Registered Nurse
146751
CT
163W00000X
Registered Nurse
759777
NY
163W00000X
Registered Nurse
RN500004485
DC

Other

Enumeration date
05/07/2024
Last updated
05/07/2024
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