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Theresia Fomunung

NPI 1821563891 · on the registry since 2018 · sole proprietor

Practice

Address
3134 Izabella Ct
Frisco, TX 75033
Phone
(832) 770-0887

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-10-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas