Dofonso Manzambi Fernando

Community Health Worker · Port Huron, MI

Individual Active NPI

NPI number 1396456638

Practice location

3111 Electric Ave
Port Huron, MI 48060-8127
Phone
(810) 985-8900

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NPI record

NPI
1396456638
Entity type
Individual (Type 1)
Enumeration date
December 7, 2022
Last updated
December 7, 2022
Certified
December 7, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community Health Worker Primary 172V00000X — MI
Community Health Worker 172V00000X — —

About Dofonso Fernando

Dofonso Manzambi Fernando is a healthcare provider registered in the NPI registry with the primary taxonomy Community Health Worker (code 172V00000X). The practice location is 3111 Electric Ave, Port Huron, MI 48060-8127. The NPI number 1396456638 was assigned on December 7, 2022 and the record was last updated on December 7, 2022.

Frequently asked questions

What is the NPI number of Dofonso Manzambi Fernando?

The NPI number is 1396456638.

What is the phone number of Dofonso Fernando?

The phone number listed for the practice location is (810) 985-8900.

Where is Dofonso Fernando located?

3111 Electric Ave, Port Huron, MI 48060-8127.

What is the taxonomy code for Dofonso Fernando?

The primary taxonomy code is 172V00000X – Community Health Worker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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