Individual
NELLY E FONGWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6419 JODIE ST, NEW CARROLLTON, MD 20784-3633
(240) 350-8880
Mailing address
6419 JODIE ST, NEW CARROLLTON, MD 20784-3633
(240) 350-8880
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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