Individual
ALEXANDER FONKENGIUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11000 JUMPING WAY, UPPER MARLBORO, MD 20772-8098
(240) 726-3565
Mailing address
11000 JUMPING WAY, UPPER MARLBORO, MD 20772-8098
(240) 726-3565
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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