Individual
DOMINIC AGWUNGLEFAH FOBELLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5644 WHITFIELD CHAPEL RD APT 202, LANHAM, MD 20706-2560
(240) 476-5800
Mailing address
5644 WHITFIELD CHAPEL RD APT 202, LANHAM, MD 20706-2560
(240) 476-5800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1058327
DC
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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