MUKHTAR FOFANA

SOMERSET, NJ
NPI1619462124
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2018-06-27
Last Update Date2018-06-27
Business Address
Mr. MUKHTAR FOFANA
156 HEMPSTEAD DR
SOMERSET, NJ 08873-3948
Phone number: 732-485-3959
Mailing Address
Mr. MUKHTAR FOFANA
156 HEMPSTEAD DR
SOMERSET, NJ 08873-3948
Phone number: 732-485-3959
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