Individual
NGONGMUN FONBISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
512 JENNINGS MILL DR, BOWIE, MD 20721-7240
(301) 302-1107
Mailing address
512 JENNINGS MILL DR, BOWIE, MD 20721-7240
(301) 302-1107
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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