Individual
CLINTON FRU NINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2918 MINNESOTA AVE SE, WASHINGTON, DC 20019-1127
(202) 839-5310
Mailing address
12314 MARLEIGH DR, BOWIE, MD 20720-3731
(240) 522-9115
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/05/2025
Last updated
12/11/2025
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