Individual
BLAISE NDANGO FON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 SAINT JOSEPHS DR, BOWIE, MD 20721-2995
(240) 825-8245
Mailing address
2501 GOOD HOPE RD SE, WASHINGTON, DC 20020-3011
(202) 866-7505
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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