Individual
SIMON ATEMNKENG FOTABONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1949 4TH ST NE, WASHINGTON, DC 20002-1211
(202) 462-7500
Mailing address
1949 4TH ST NE, WASHINGTON, DC 20002-1211
(202) 462-7500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1051695
DC
Other
Enumeration date
03/09/2012
Last updated
04/29/2025
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