Individual
KWEKAM DIDI PARFAIT FONGANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(202) 597-1146
Mailing address
5914 85TH AVE, NEW CARROLLTON, MD 20784-2802
(240) 584-3902
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
DC
Other
Enumeration date
03/30/2023
Last updated
08/10/2023
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