Individual
IGNATIUS FONCHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 NEW YORK AVE NE, 228, WASHINGTON, DC 20002-1848
(202) 832-8340
Mailing address
702 15TH ST NE, WASHINGTON, DC 20002-4508
(202) 388-8500
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/20/2012
Last updated
05/08/2023
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