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Individual

DORETTE EPSE FONGOH MONTHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4604 DICKENS PRIDE CT, BOWIE, MD 20720-5621
(202) 306-7628
Mailing address
4604 DICKENS PRIDE CT, BOWIE, MD 20720-5621
(202) 306-7628

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
07/22/2024
Last updated
07/22/2024
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