Charles Fongoh
NPI #1073284808 in Capitol Heights, Maryland
Provider Information
- NPI Number
- 1073284808
- Entity Type
- Individual
- Name
- Charles Fongoh
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Sep 22, 2021
- Last Updated
- Aug 8, 2024
Practice Location
- Address
- 5614 MALVERN WAY
- City
- Capitol Heights
- State
- Maryland
- ZIP Code
- 20743-3051
- Phone
- (443) 366-0957
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse's Aide |
| Case Manager/Care Coordinator |
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