MR. Etienne Clement Poufong, NP
NPI #1023626959 in Mountlake Terrace, Washington
Provider Information
- NPI Number
- 1023626959
- Entity Type
- Individual
- Name
- MR. Etienne Clement Poufong, NP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- NP
- Enumeration Date
- Jul 16, 2020
- Last Updated
- Jun 25, 2023
Practice Location
- Address
- 1001 - MOUNTLAKE TERRACE
- State
- Washington
- ZIP Code
- 98043-7510
- Phone
- (469) 321-9543
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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