Individual
ELVIS CLINCE KANTCHOUET FONGANG SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3504 COMMODORE JOSHUA BARNEY DR NE APT 302, WASHINGTON, DC 20018-4406
(301) 326-8934
Mailing address
3504 COMMODORE JOSHUA BARNEY DR NE APT 302, WASHINGTON, DC 20018-4406
(301) 326-8934
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
A00225562
DC
Other
Enumeration date
12/04/2025
Last updated
01/08/2026
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