Individual
EMMANUEL NDAMUKONG FONBAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4017 MINNESOTA AVE NE, WASHINGTON, DC 20019-3541
(240) 478-4881
Mailing address
3346 TEAGARDEN CIR APT 102, SILVER SPRING, MD 20904-7577
(240) 478-4881
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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