Individual
EVELYNE FONDIKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1416 9TH ST NW, WASHINGTON, DC 20001-3344
(202) 483-9111
Mailing address
7857 RIVERDALE RD, NEW CARROLLTON, MD 20784-4027
(214) 514-4129
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/04/2013
Last updated
03/01/2018
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