Individual
LUCY FONCHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6104 YEAGER CT, NEW MARKET, MD 21774-6365
(301) 675-9070
Mailing address
6104 YEAGER CT, NEW MARKET, MD 21774-6365
(301) 675-9070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R242509
MD
Other
Enumeration date
09/28/2019
Last updated
02/02/2025
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