Individual
DR. NATHALIE DOMO FOZEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
129 ST CHARLES PKWY, WALDORF, MD 20602
(301) 645-8950
Mailing address
20023 SPUR HILL DR, MONTGOMERY VILLAGE, MD 20886-1476
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23011
NM
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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