CRISPUS FONGOH

WASHINGTON, DC
NPI1063092815
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies374U00000X Home Health Aide
Enumeration Date2021-04-14
Last Update Date2023-07-21
Business Address
CRISPUS FONGOH
2501 GOOD HOPE RD SE
WASHINGTON, DC 20020-3011
Phone number: 240-825-8561
Mailing Address
CRISPUS FONGOH
4604 DICKENS PRIDE CT
BOWIE, MD 20720-5621
Phone number: 240-825-8561
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