person
Mr. Etienne Clement Poufong, NP
Psychiatric/Mental Health Nurse Practitioner in Mountlake Terrace, Washington
NPI 1023626959

Etienne Clement Poufong is a Psychiatric/Mental Health Nurse Practitioner based in Cedar Hill, WA and is specialized in Psychiatric/Mental Health. Etienne Clement Poufong practices in Mountlake Terrace, WA and has the professional credentials of NP. The NPI Number for Etienne Clement Poufong is 1023626959 and holds a License No. AP146155 (Washington).

The current practice location address for Etienne Clement Poufong is 1001 - Mountlake Terrace, Mountlake Terrace, WA and can be reached out via phone at 469-321-9543.

Location: 1001 - Mountlake Terrace, Mountlake Terrace, WA, 75104-7352
person
Provider Profile Details
NPI Number
1023626959
Provider Name
Etienne Clement Poufong
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1001 - Mountlake Terrace, Mountlake Terrace, WA, 75104-7352
Phone Number
469-321-9543
Fax Number
Provider Enumeration Date
07/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1001 - Mountlake Terrace
City
State
Zip
98043-7510
Phone Number
469-321-9543
Fax Number
person
Provider Business Mailing Address Details
Address
1001 - Mountlake Terrace
City
State
Zip
98043-7510
Phone Number
469-321-9543
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP146155 (Texas)
Definition
Definition to come...
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