GOFAN HEALTHCARE SERVICE LLC

RIVERDALE, MD
NPI1346058328
Entity TypeOrganization
Authorized ContactJACINTA MADU
Owner
804-469-0044
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2024-12-23
Last Update Date2024-12-23
Business Address
GOFAN HEALTHCARE SERVICE LLC
6200 BALTIMORE AVE STE 300
RIVERDALE, MD 20737-1054
Phone number: 469-296-8177
Mailing Address
GOFAN HEALTHCARE SERVICE LLC
2072 ROYAL ACRES TRL
FRISCO, TX 75036-8772
Phone number: 469-296-8177