Individual
FONCHENALLA NGUAFAC BERTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5917 CHERRYWOOD TER APT 205, GREENBELT, MD 20770-4273
(240) 595-8331
Mailing address
5917 CHERRYWOOD TER APT 205, GREENBELT, MD 20770-4273
(240) 595-8331
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/03/2012
Last updated
09/03/2012
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