Individual
KEYONDA MANGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17001 SEARSTONE DR, CARY, NC 27513-8385
(919) 234-0400
Mailing address
4732 SUNSET LAKE RD, APEX, NC 27539-8784
(919) 337-6151
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7735
NC
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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