Individual
MR. DIEUDONNE MOGWOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 OCEAN VIEW AVE, BROOKLYN, NY 11235-6831
(929) 289-4904
Mailing address
506 OCEAN VIEW AVE, BROOKLYN, NY 11235-6831
(929) 289-4904
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
—
—
133N00000X
Nutritionist
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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