Individual
FNU OFFUNDEM NCHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 BLUERIDGE AVE, SILVER SPRING, MD 20902-4517
(240) 584-6837
Mailing address
2401 BLUERIDGE AVE, SILVER SPRING, MD 20902-4517
(240) 584-6837
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14514
MD
Other
Enumeration date
06/20/2019
Last updated
07/10/2019
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