Individual
EUPHRASIE DIANE FOMEKONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 MOUNTAINVIEW RD, MOUNT LAUREL, NJ 08054-4730
(862) 899-6367
Mailing address
119 MOUNTAINVIEW RD, MOUNT LAUREL, NJ 08054-4730
(862) 899-6367
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
26NR23175500
NJ
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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