Individual
FIDELINE JOELLE POKAM MOUAFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9649 WOODLAND RD, NEW MARKET, MD 21774-2942
(301) 978-6869
Mailing address
9649 WOODLAND RD, NEW MARKET, MD 21774-2942
(301) 978-6869
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06240870
MD
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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