Provider Demographics
NPI:1164243101
Name:TOKAM, HUGUETH FARRAH
Entity type:Individual
Prefix:MRS
First Name:HUGUETH FARRAH
Middle Name:
Last Name:TOKAM
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 1:12609 STONERIDGE LN APT 203
Mailing Address - Street 2:
Mailing Address - City:SOUTH ROCKWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:48179-9578
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12609 STONERIDGE LN APT 203
Practice Address - Street 2:
Practice Address - City:SOUTH ROCKWOOD
Practice Address - State:MI
Practice Address - Zip Code:48179-9578
Practice Address - Country:US
Practice Address - Phone:571-346-9278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDOU.000014374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula