Individual
BRONDEL DEFANG FONDONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6275 64TH AVE APT 1, RIVERDALE, MD 20737-2960
(240) 704-1596
Mailing address
6275 64TH AVE APT 1, RIVERDALE, MD 20737-2960
(240) 704-1596
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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