Individual
MONGAI FANKAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9231 SWALLOW TAIL LN, CHARLOTTE, NC 28269-1570
(704) 737-0590
Mailing address
9231 SWALLOW TAIL LN, CHARLOTTE, NC 28269-1570
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
NC
374J00000X
Doula
Primary
—
NC
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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