Provider Information for 1306899976
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Ms. EUNICE WANJIRU NGUMBA-GATABAKI PhD
Sex: Female
NPI: 1306899976
Last Updated: 2020-12-09
Certification Date: 2020-12-09
Certification Date: 2020-12-09
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1306899976 | ||||||||||||
| Enumeration Date | 2006-05-18 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 3229 GREENVILLE LOOP ROAD WAKE FOREST, NC 27587 United States Phone: 919-274-0596 | Fax:919-373-1595 | ||||||||||||
| Primary Practice Address | 839 DURHAM RD STE C WAKE FOREST, NC 27587-8793 United States Phone: 919-274-0596 | Fax:919-928-5160 | ||||||||||||
| Secondary Practice Address(es) | 3500 WESTGATE DR STE 604 | ||||||||||||
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