Individual
JOSEPHINE E FONGAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-2835
(919) 758-4225
Mailing address
2233 COLUMBIA PL, HYATTSVILLE, MD 20785-4955
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13624
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA13624
—
DC
Enumeration date
04/21/2018
Last updated
04/21/2018
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