Individual
BINTA I FONYONGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6495 NEW HAMPSHIRE AVE STE A303, HYATTSVILLE, MD 20783-3245
(240) 825-3153
Mailing address
11337 DRUMSHEUGH LN, UPPER MARLBORO, MD 20774-5749
(301) 675-3847
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
A00185588
MD
Other
Enumeration date
05/19/2021
Last updated
07/28/2023
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