BERNICE FOMUNUNG

FRISCO, TX
NPI1225679368
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: TX  AP142982)
Enumeration Date2019-09-30
Last Update Date2019-09-30
Business Address
BERNICE FOMUNUNG
8501 WADE BLVD STE 110
FRISCO, TX 75034-6262
Phone number: 972-668-3109
Mailing Address
BERNICE FOMUNUNG
3134 IZABELLA CT
FRISCO, TX 75033-8068
Phone number: 469-427-1482
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