Individual
PAUL FONKEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4660 MARTIN LUTHER KING JR AVE SW STE A13, WASHINGTON, DC 20032-4880
(202) 318-0179
Mailing address
4129 HUNT PL NE APT B, WASHINGTON, DC 20019-3508
(240) 413-8473
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
DC
Other
Enumeration date
03/26/2025
Last updated
04/10/2025
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