Individual
DR. HOPE FONBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
167 N MAIN STREET, TUBA CITY, AZ 86045
(928) 283-2754
Mailing address
PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2754
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03338122
OH
Other
Enumeration date
11/02/2018
Last updated
06/25/2021
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