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Individual

PETER FONCHA NKEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3203 BARCROFT DR, UPPER MARLBORO, MD 20774-2581
(240) 593-4082
Mailing address
12230 APACHE TEARS CIR, LAUREL, MD 20708-2847
(240) 640-6219

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
374U00000X
Home Health Aide

Other

Enumeration date
02/11/2014
Last updated
12/27/2024
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