Provider Demographics
NPI:1821448895
Name:LONFO, ESTHER FATIMATA
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:FATIMATA
Last Name:LONFO
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 1:7550 STIRLING RD
Mailing Address - Street 2:APT 104C
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-1580
Mailing Address - Country:US
Mailing Address - Phone:954-699-5981
Mailing Address - Fax:
Practice Address - Street 1:7550 STIRLING RD
Practice Address - Street 2:APT 104C
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-1580
Practice Address - Country:US
Practice Address - Phone:954-699-5981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-20
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other