Individual
EVELINE TIFUH FOWANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1418 MARION BARRY AVE SE, WASHINGTON, DC 20020-5615
(202) 796-5000
Mailing address
13800 CASTLE BLVD APT 304, SILVER SPRING, MD 20904-7302
(202) 848-0321
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
05/02/2024
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