Individual
VANESSA TONGIONG KENFACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7841 RIVERDALE RD APT T3, NEW CARROLLTON, MD 20784-4023
(240) 505-8930
Mailing address
7841 RIVERDALE RD APT T3, NEW CARROLLTON, MD 20784-4023
(240) 505-8930
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
HHA13123
DC
Other
Enumeration date
09/20/2017
Last updated
07/25/2023
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