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Individual

LINDA FONJU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
14644 WEXHALL TER, BURTONSVILLE, MD 20866-1911
(706) 201-9680
(706) 201-9680
Mailing address
14644 WEXHALL TER, BURTONSVILLE, MD 20866-1911

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R204826
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN1038980
DC

Other

Enumeration date
11/19/2017
Last updated
03/04/2020
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