Individual
IRENE FONTOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4717 ROLLINGDALE WAY, CAPITOL HEIGHTS, MD 20743-5369
(240) 606-0981
Mailing address
4717 ROLLINGDALE WAY, CAPITOL HEIGHTS, MD 20743-5369
(240) 606-0981
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1030359
DC
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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