Matondo Alma Mpongo
Matondo Alma Mpongo is a Student in an Organized Health Care Education/Training Program in Provo, Utah. Licensed in North Carolina. Registered with an NPI since 2017.
- Licensed in
- NC
- In the registry since
- 2017
Practice location Address checks out
750 N Freedom BlvdProvo, UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 34953390 (NC) |
|---|
Record details
| NPI number | 1831622703 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 7, 2017 |
| Last updated in NPPES | April 7, 2017 |
| Mailing address | 750 N Freedom Blvd, Provo, UT 84601-1677 |
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750 N Freedom Blvd, Provo, UT 84601-1677 · (801) 373-4760
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750 N Freedom Blvd, Provo, UT 84601-1677 · (801) 373-4760