Individual
MAXIM FOKWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13409 BIRKHALL DR, LAUREL, MD 20707-3101
(667) 433-0940
Mailing address
13409 BIRKHALL DR, LAUREL, MD 20707-3101
(667) 433-0940
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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