Individual
BONGEAHFONGE PATRICIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5626 WHITFIELD CHAPEL RD LANHAM, LANHAM, MD 20706
(202) 910-9212
Mailing address
5626 WHITFIELD CHAPEL RD LANHAM, LANHAM, MD 20706
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12525
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41302698
—
DC
Enumeration date
01/24/2017
Last updated
02/16/2017
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