Individual
FOLEFAC FOFUELAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
860 ROBIN DR, SUN PRAIRIE, WI 53590-3330
(240) 701-6013
Mailing address
860 ROBIN DR, SUN PRAIRIE, WI 53590-3330
(240) 701-6013
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
0019574
WI
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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