Provider Demographics
NPI:1891561064
Name:JOYCE, WATKUNA FOFUNG
Entity type:Individual
Prefix:
First Name:WATKUNA
Middle Name:FOFUNG
Last Name:JOYCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3406 55TH AVE APT 202
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-1020
Mailing Address - Country:US
Mailing Address - Phone:240-788-0622
Mailing Address - Fax:
Practice Address - Street 1:3406 55TH AVE APT 202
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-1020
Practice Address - Country:US
Practice Address - Phone:240-788-0622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-29
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator