Individual
NDEMAZIA N FUALEFOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1924 THOREAU WAY, YORK, SC 29745-6624
(240) 234-9556
Mailing address
1924 THOREAU WAY, YORK, SC 29745-6624
(240) 234-9556
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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