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Individual

MALYSEWILMA TEMBOCK FONCHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6341 LANDOVER RD APT 204, CHEVERLY, MD 20785-1341
(662) 408-1591
Mailing address
6341 LANDOVER RD APT 204, CHEVERLY, MD 20785-1341
(662) 408-1591

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
DC

Other

Enumeration date
10/29/2025
Last updated
01/08/2026
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