Individual
DAMIEN FONVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 TAYLOR ST NE APT 22F, WASHINGTON, DC 20017-4332
(202) 812-1739
Mailing address
3708 DIANNA RD, CAMP SPRINGS, MD 20746-2226
(202) 925-7300
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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