DOFONSO MANZAMBI FERNANDO

PORT HURON, MI
NPI1396456638
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2022-12-07
Last Update Date2022-12-07
Business Address
DOFONSO MANZAMBI FERNANDO
3111 ELECTRIC AVE
PORT HURON, MI 48060-8127
Phone number: 810-985-8900
Mailing Address
DOFONSO MANZAMBI FERNANDO
3111 ELECTRIC AVE
PORT HURON, MI 48060-8127
Phone number: 810-985-8900
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