SearchMaryland374U00000X

Elie Fombele

NPI 1790253359 · on the registry since 2018

Practice

Address
9897 Good Luck Rd Apt 10
Lanham, MD 20706
Phone
(240) 714-8876
Clinicians at this address
5

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-11-12

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