Individual
FATIMA FOFANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1302 TORRINGTON LN, FORNEY, TX 75126-1250
(214) 315-4652
Mailing address
2900 W PARK ROW DR STE C, PANTEGO, TX 76013-2047
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1071616
TX
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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