Individual
FONACHU NUBEDWOE BERTRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6320 BRIGHTLEA DR, LANHAM, MD 20706-2866
(240) 429-1046
Mailing address
6320 BRIGHTLEA DR, LANHAM, MD 20706-2866
(240) 429-1046
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
DC
171M00000X
Case Manager/Care Coordinator
—
MD
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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