Individual
ASONG BENANZEA-FONTEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024179635
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R150084
MD
Other
Enumeration date
10/14/2019
Last updated
06/10/2021
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