Individual
MIRANDA SHINDOH JOKO EPSE FONGYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16707 GOVERNOR BRIDGE RD APT 301, BOWIE, MD 20716-3699
(202) 937-7814
Mailing address
16707 GOVERNOR BRIDGE RD APT 301, BOWIE, MD 20716-3699
(202) 937-7814
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/02/2023
Last updated
04/09/2025
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