Gideon Tah Fon
NPI #1891304887 in Randallstown, Maryland
Provider Information
- NPI Number
- 1891304887
- Entity Type
- Individual
- Name
- Gideon Tah Fon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jul 27, 2020
- Last Updated
- Jul 27, 2020
Practice Location
- Address
- 6 ROCK STORY CT
- Address 2
- NONE
- City
- Randallstown
- State
- Maryland
- ZIP Code
- 21133-2844
- Phone
- (443) 676-6123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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