Siri Mamounge Fobanjong
NPI #1245919067 in Weston, Massachusetts
Provider Information
- NPI Number
- 1245919067
- Entity Type
- Individual
- Name
- Siri Mamounge Fobanjong
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Jul 18, 2023
- Last Updated
- Jul 20, 2023
Practice Location
- Address
- 235 WELLESLEY ST
- City
- Weston
- State
- Massachusetts
- ZIP Code
- 02493-1571
- Phone
- (508) 685-3516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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