Individual
KADIDJS FOFANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7970 W GRAND PKWY S APT 4203, RICHMOND, TX 77406-5845
(832) 686-1773
Mailing address
7970 W GRAND PKWY S APT 4203, RICHMOND, TX 77406-5845
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
896788
TX
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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