Individual
MATHEW FONDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(202) 894-6811
Mailing address
9633 UTICA PL, SPRINGDALE, MD 20774-5449
(240) 899-0785
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1039373
DC
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/14/2023
Last updated
07/26/2023
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