Individual
PRAXITE FONGANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6323 GEORGIA AVE NW STE 350, WASHINGTON, DC 20011-1151
(240) 495-4248
Mailing address
6323 GEORGIA AVE NW STE 350, WASHINGTON, DC 20011-1151
(240) 495-4248
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
374U00000X
Home Health Aide
HHA15725
DC
Other
Enumeration date
04/01/2021
Last updated
10/31/2024
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