Individual
JULIETTE FOMBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 W 7TH ST, FREDERICK, MD 21701-8527
(301) 694-3390
Mailing address
901 W 7TH ST, FREDERICK, MD 21701-8527
(301) 694-3390
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24462
MD
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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