SUNNY BESONG DIFFANG

RANDALLSTOWN, MD
NPI1407480817
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MD  R202090)
Enumeration Date2020-02-24
Last Update Date2020-02-24
Business Address
MR. SUNNY BESONG DIFFANG CRNP
3523 CORN STREAM RD
RANDALLSTOWN, MD 21133-2442
Phone number: 410-528-3866
Mailing Address
MR. SUNNY BESONG DIFFANG CRNP
3523 CORN STREAM RD
RANDALLSTOWN, MD 21133-2442
Phone number: 410-528-3866