Individual provider · Type 1 NPI

Matondo Alma Mpongo

Student in an Organized Health Care Education/Training Program · Provo, UT

NPI number 1831622703 Active

Practice location

750 N Freedom Blvd
Provo, UT 84601-1677

Call (801) 373-4760 Map

Fax (801) 373-0639

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X34953390 (NC)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1831622703

Matondo Alma Mpongo's National Provider Identifier is 1831622703, issued on Apr 7, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Provo, UT. The record was last updated on Apr 7, 2017.