Individual
MICHELE FONOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10121 E FRANKLIN AVE, GLENN DALE, MD 20769-9282
(301) 458-8465
Mailing address
10121 E FRANKLIN AVE, GLENN DALE, MD 20769-9282
(301) 458-8465
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11746
DC
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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