Individual
SIRRI FONCHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4404 TWIN OAK CT, LANHAM, MD 20706-1935
(240) 421-4799
Mailing address
3522 VISTA VERDE DR, BOWIE, MD 20721-2889
(240) 421-4799
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/19/2012
Last updated
07/24/2023
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