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Vivian Angyiahen Fomukong
Home Health Clinical Nurse Specialist in Hyattsville, Maryland
NPI 1811336803

Vivian Angyiahen Fomukong is a Home Health Clinical Nurse Specialist based in Hyattsville, MD and is specialized in Home Health. Vivian Angyiahen Fomukong practices in Hyattsville, MD. The NPI Number for Vivian Angyiahen Fomukong is 1811336803 and holds a License No. HHA8384 (Maryland).

The current practice location address for Vivian Angyiahen Fomukong is 9276 Adelphi Rd Apt 204, Hyattsville, MD and can be reached out via phone at 202-378-6632.

Location: 9276 Adelphi Rd Apt 204, Hyattsville, MD, 20783-2029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811336803
Provider Name
Vivian Angyiahen Fomukong
Credential
Provider Entity Type
Individual
Gender
Female
Address
9276 Adelphi Rd Apt 204, Hyattsville, MD, 20783-2029
Phone Number
202-378-6632
Fax Number
Provider Enumeration Date
06/23/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9276 Adelphi Rd Apt 204
City
Hyattsville
State
Maryland
Zip
20783-2029
Phone Number
202-378-6632
Fax Number
person
Provider Business Mailing Address Details
Address
9276 Adelphi Rd Apt 204
City
Hyattsville
State
Maryland
Zip
20783-2029
Phone Number
202-378-6632
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Home Health
Taxonomy
364SH0200X
License No.
HHA8384 (District of Columbia)
Definition
Definition to come...
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