Tanya Fongemie
NPI #1982159372 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1982159372
- Entity Type
- Individual
- Name
- Tanya Fongemie
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Aug 16, 2016
- Last Updated
- Sep 6, 2016
Practice Location
- Address
- 3001 WARRIOR LN
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-8685
- Phone
- (573) 686-1200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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