Individual
JENETTE FONJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6812 BUCHANAN ST, HYATTSVILLE, MD 20784-1409
(240) 314-9905
Mailing address
6812 BUCHANAN ST, HYATTSVILLE, MD 20784-1409
(240) 314-9905
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12056
DC
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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