Individual
JOEL FONCHA MUNDOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 TOWNSEND WAY APT A1, BLADENSBURG, MD 20710-1885
(202) 294-4877
Mailing address
5000 TOWNSEND WAY APT A1, BLADENSBURG, MD 20710-1885
(202) 294-4877
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14552
DC
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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