Individual
MR. ETIENNE CLEMENT POUFONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1001 - MOUNTLAKE TERRACE, MOUNTLAKE TERRACE, WA 98043-7510
(469) 321-9543
Mailing address
708 CLEMENT DR, CEDAR HILL, TX 75104-7352
(469) 321-9543
(817) 471-3269
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP146155
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61426687
WA
Other
Enumeration date
07/16/2020
Last updated
06/25/2023
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