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Individual
FONJONG GODLOVE TANGWING SR.
Active
Individual
FONJONG GODLOVE TANGWING SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
HHA12085
DC
Other
Enumeration date
06/09/2016
Last updated
07/25/2023
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