AZINGALA AJUA FONDONG

TUPELO, MS
NPI1154882702
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MS  30382)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MS  30382)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-27
Last Update Date2023-04-18
Business Address
AZINGALA AJUA FONDONG MD
830 S GLOSTER ST
TUPELO, MS 38801-4934
Phone number: 601-260-6486
Mailing Address
AZINGALA AJUA FONDONG MD
3400 MCCULLOUGH BLVD APT 712
BELDEN, MS 38826-9466
Phone number: