Individual
MOHAMED MOUSSA FOFANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CORECHI
Contact information
Practice address
19 STALEY AVE, COLLINGDALE, PA 19023-1903
(610) 957-8967
Mailing address
19 STALEY AVE, COLLINGDALE, PA 19023-1903
(610) 957-8967
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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