FONTEM DERRICK CHI

COLLEGE PARK, MD
NPI1215773197
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-07-01
Last Update Date2024-07-01
Business Address
FONTEM DERRICK CHI
4827 INDIAN LN
COLLEGE PARK, MD 20740-1661
Phone number: 240-549-0209
Mailing Address
FONTEM DERRICK CHI
4827 INDIAN LN
COLLEGE PARK, MD 20740-1661
Phone number: 240-549-0209