ABDUL MALIK FOFANAH

BALTIMORE, MD
NPI1548979107
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  R215797)
Enumeration Date2022-11-22
Last Update Date2024-06-06
Business Address
ABDUL MALIK FOFANAH NP
2115 N CHARLES ST
BALTIMORE, MD 21218-5760
Phone number: 240-441-7536
Mailing Address
ABDUL MALIK FOFANAH NP
2115 N CHARLES ST
BALTIMORE, MD 21218-5760
Phone number: 240-441-7536
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