Individual
NOELA EYANG FONGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5324 85TH AVE, NEW CARROLLTON, MD 20784-3239
(667) 381-4003
Mailing address
5324 85TH AVE, NEW CARROLLTON, MD 20784-3239
(667) 381-4003
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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