Individual
AUGASTNIE NTUNGWEN FONCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2312 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-2829
(202) 635-6006
Mailing address
13703 MODRAD WAY, SILVER SPRING, MD 20904-4825
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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