Individual
FNU SOH TAH FON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7603 GEORGIA AVE NW, WASHINGTON, DC 20012-1617
(202) 498-8094
Mailing address
7603 GEORGIA AVE NW, WASHINGTON, DC 20012-1617
(202) 498-8094
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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