Individual
ENDAM JOSEPHINE FOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5914 85TH AVE, NEW CARROLLTON, MD 20784-2802
(301) 323-5516
Mailing address
5914 85TH AVE, NEW CARROLLTON, MD 20784-2802
(301) 323-5516
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MD
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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