Individual
MS. VIVIEN ANJOH FONJONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9710 PATUXENT WOODS DR STE 200, COLUMBIA, MD 21046-3458
(443) 899-9525
Mailing address
9710 PATUXENT WOODS DR STE 200, COLUMBIA, MD 21046-3458
(443) 899-9525
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CRNP134269
MD
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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