SearchMaryland171M00000X

Clovis Fokum

NPI 1700680170 · on the registry since 2025 · sole proprietor

Practice

Address
2024 Nicol Circle
Bowie, MD 20721
Phone
(619) 314-1583

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-03

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 Maryland