Individual
AUGUSTINA EVO FOFANAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2012 THISTLEWOOD DR, FT WASHINGTON, MD 20744-3901
(202) 304-0633
(000) 000-0000
Mailing address
2012 THISTLEWOOD DR, FT WASHINGTON, MD 20744-3901
(202) 304-0633
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
RN1037262
DC
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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