Individual
HELEN TONJOCK FONGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
2306 BRIGHTSEAT RD APT 5, HYATTSVILLE, MD 20785-3550
(323) 679-7544
Mailing address
2306 BRIGHTSEAT RD APT 5, LANDOVER, MD 20785-3550
(323) 679-7544
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14546
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA14546
—
DC
Enumeration date
06/25/2019
Last updated
06/25/2019
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