Individual
MR. LELO THEO NGOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
187 COALYARD DR, GARNER, NC 27529-7373
(919) 720-9978
Mailing address
187 COALYARD DR, GARNER, NC 27529-7373
(919) 720-9978
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NGOM-7LKIK
NC
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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