BERTILLE KUISSO PONKAM

Health Educator

Active Individual
NPI: 1265054779

Practice Address

615 SAINT GEORGE SQUARE CT STE 300
Winston Salem, NC 27103

Phone: (203) 683-5946

Specialties

Specialty Code Primary License
Health Educator 174H00000X Yes -

Frequently Asked Questions

NPI 1265054779 is the National Provider Identifier for BERTILLE KUISSO PONKAM, a Health Educator provider located in Winston Salem, NC. This NPI was enumerated on May 7, 2020.
BERTILLE KUISSO PONKAM practices at 615 SAINT GEORGE SQUARE CT STE 300, Winston Salem, NC 27103.

Quick Facts

NPI
1265054779
Type
Individual
Enumerated
May 7, 2020
Last Updated
Nov 27, 2023

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