Individual
WATKUNA FOFUNG JOYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3406 55TH AVE APT 202, HYATTSVILLE, MD 20784-1020
(240) 788-0622
Mailing address
3406 55TH AVE APT 202, HYATTSVILLE, MD 20784-1020
(240) 788-0622
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
08/30/2024
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