Individual
FONKA EBONIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
603 NORTH HAMPTON DR, SILVER SPRING, MD 20903
(240) 478-0764
Mailing address
603 NORTH HAMPTON DR, SILVER SPRING, MD 20903
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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