Individual
PRINCELY MALONGE FRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9963 GOOD LUCK RD APT 101, LANHAM, MD 20706-3274
(301) 291-6513
Mailing address
9963 GOOD LUCK RD APT 101, LANHAM, MD 20706-3274
(301) 291-6513
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MD
172V00000X
Community Health Worker
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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