Individual provider · Type 1 NPI
Thomas Fomukong
Licensed Practical Nurse · Garland, TX
NPI number
1588078703
Active
Practice location
2433 Goldfinch Ln
Garland, TX 75042-8022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 311971 (TX) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2 other providers at this address
Other licensed practical nurse providers in Garland
About NPI 1588078703
Thomas Fomukong's National Provider Identifier is 1588078703, issued on Jun 16, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Garland, TX. The record was last updated on Jun 16, 2014.