MASERAY FOFANAH

PHOENIX, AZ
NPI1215638465
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  1068830)
Enumeration Date2023-03-14
Last Update Date2023-03-14
Business Address
MASERAY FOFANAH FNP
1717 W NORTHERN AVE STE 211
PHOENIX, AZ 85021-5469
Phone number: 480-249-2655
Mailing Address
MASERAY FOFANAH FNP
257 N STATE RD APT 25A
SPRINGFIELD, PA 19064-1826
Phone number: 161-076-6149
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