Fonabei Ayongaba
NPI #1104532944 in Lacey, Washington
Provider Information
- NPI Number
- 1104532944
- Entity Type
- Individual
- Name
- Fonabei Ayongaba
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jan 25, 2023
- Last Updated
- Sep 6, 2023
Practice Location
- Address
- 605 WOODLAND SQUARE LOOP SE
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-1045
- Phone
- (844) 949-8888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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