Individual
LUCAS MBAKWA FONCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 FAIRVIEW AVE APT 605, TAKOMA PARK, MD 20912-5951
(202) 779-2523
Mailing address
780 FAIRVIEW AVE APT 605, TAKOMA PARK, MD 20912-5951
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
Primary
—
MD
Other
Enumeration date
10/02/2021
Last updated
03/17/2026
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