Individual
GABRIELLE MAGNE FONKAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3817 64TH AVE APT 103, LANDOVER HILLS, MD 20784-1857
(213) 246-6045
Mailing address
3817 64TH AVE APT 103, LANDOVER HILLS, MD 20784-1857
(213) 246-6045
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14138
DC
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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