FANTA GASSAMA

CHARLOTTE, NC
NPI1093378390
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: NC  284465)
Enumeration Date2019-04-22
Last Update Date2019-04-22
Business Address
FANTA GASSAMA
8801 J M KEYNES DR STE 230
CHARLOTTE, NC 28262-5514
Phone number: 704-549-1700
Mailing Address
FANTA GASSAMA
8801 J M KEYNES DR STE 230
CHARLOTTE, NC 28262-5514
Phone number: