KIRSTEN MANCOGNA

GASTONIA, NC
NPI1790150613
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-06039)
Enumeration Date2015-12-03
Last Update Date2015-12-03
Business Address
-- KIRSTEN MANCOGNA
1530A UNION ROAD
GASTONIA, NC 28054-2201
Phone number: 704-867-6188
Mailing Address
-- KIRSTEN MANCOGNA
1530A UNION ROAD
GASTONIA, NC 28054-2201
Phone number: 704-867-6188