Elodie Fongang Mafo

NPI 1366065708 · on the registry since 2020

Practice

Address: 11911 Greenville Ave Apt 2213
Dallas, TX 75243
Phone: (515) 346-2913
Organisation at this address: Sihan,Inc
Northern Star Ride
Power Performance And Rehabilitation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Registered Nurse
163W00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-05-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas