Search › Maryland › 364SH0200X
Vivian Fomukong
NPI 1811336803 · on the registry since 2013
Practice
- Address
- 9276 Adelphi Rd Apt 204
Hyattsville, MD 20783 - Phone
- (202) 378-6632
Registry record
- Primary taxonomy
- 364SH0200X
364SH0200X
- Licence states on file
- DC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-06-23
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