Individual
KAREEN MANKAH FOBUZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8606 PRESTON ST, NEW CARROLLTON, MD 20784-2850
(770) 912-8608
Mailing address
8606 PRESTON ST, NEW CARROLLTON, MD 20784-2850
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00766700
NJ
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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