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1124414750
COLLINS FOKUM FOMUNUNG
CHARLOTTE, NC
NPI
1124414750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC F0215602)
Enumeration Date
2015-04-10
Last Update Date
2015-04-10
Business Address
-- COLLINS FOKUM FOMUNUNG FNP
6608 E W T HARRIS BLVD STE A
CHARLOTTE, NC 28215-5128
Phone number: 704-900-7761
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Mailing Address
-- COLLINS FOKUM FOMUNUNG FNP
430 WHITE WATER FALLS DR APT 611
CHARLOTTE, NC 28217-5257
Phone number: 704-258-2936
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