MARTIN NGU KWALE PONG

PHOENIX, AZ
NPI1245935204
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  280285)
Enumeration Date2023-03-31
Last Update Date2023-04-05
Business Address
Mr. MARTIN NGU KWALE PONG PMHNP-BC
4338 W THOMAS RD
PHOENIX, AZ 85031-3878
Phone number: 682-307-0864
Mailing Address
Mr. MARTIN NGU KWALE PONG PMHNP-BC
4338 W THOMAS RD
PHOENIX, AZ 85031-3878
Phone number: 682-307-0864
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