Individual
CLOVIS FON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1416 9TH ST NW, WASHINGTON, DC 20001-3344
(202) 483-9111
Mailing address
5902 31ST AVE APT 603, HYATTSVILLE, MD 20782-2910
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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