Individual
KOFI DOFOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6518 CLUBHOUSE DR, LAUREL, MD 20708-3400
(202) 751-9390
Mailing address
6518 CLUBHOUSE DR, LAUREL, MD 20708-3400
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R269045
MD
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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