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Individual

PATIENCE FOFUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7217 HANOVER PKWY STE A, GREENBELT, MD 20770-2020
(301) 345-1124
Mailing address
7217 HANOVER PKWY STE A, GREENBELT, MD 20770-2020

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20252
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2251086 00
MD
Enumeration date
07/03/2012
Last updated
07/03/2012
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Product
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