Individual
MR. BILONGO MPUATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7209 E WT HARRIS BLVD, CHARLOTTE, NC 28227-1063
(980) 254-3310
Mailing address
7209 E WT HARRISBLVD, CHARLOTTE, NC 28212-8547
(980) 254-3310
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/25/2009
Last updated
11/25/2009
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