Individual
FONJIA FORCHALEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7737 RIVERDALE RD APT 304, NEW CARROLLTON, MD 20784-3904
(240) 556-4388
Mailing address
7737 RIVERDALE RD APT 304, NEW CARROLLTON, MD 20784-3904
(240) 556-4388
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14323
DC
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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