Individual
WALTER NGWA FONTAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2027 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7007
(202) 800-4387
Mailing address
9216 HOBART ST, SPRINGDALE, MD 20774-5409
(301) 850-8403
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
14770
DC
Other
Enumeration date
02/05/2020
Last updated
06/07/2023
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