Individual
CORNELIA N FONJONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11114 POMPEY DR, UPPER MARLBORO, MD 20772-4859
(202) 722-1725
Mailing address
11114 POMPEY DR, UPPER MARLBORO, MD 20772-4859
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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