Individual
BODWIN TAMBONGHO FONJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 EASTERN AVE NE, WASHINGTON, DC 20019-2833
(202) 248-1356
Mailing address
1506 FAIRLAKES PL, BOWIE, MD 20721-3102
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
DC
374U00000X
Home Health Aide
Primary
HHA200005604
DC
Other
Enumeration date
05/28/2025
Last updated
05/05/2026
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