Individual
CYNTHIA FONKEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7715 RIVERDALE RD APT 303, NEW CARROLLTON, MD 20784-3943
(240) 714-2644
Mailing address
7715 RIVERDALE RD APT 303, NEW CARROLLTON, MD 20784-3943
(240) 714-2644
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12329
DC
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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