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1427884667
IRENE NINA FONCHAM
ROCKVILLE, MD
NPI
1427884667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R184453)
Enumeration Date
2024-09-13
Last Update Date
2024-09-13
Business Address
Mrs. IRENE NINA FONCHAM
14901 BROSCHART RD
ROCKVILLE, MD 20850-3318
Phone number: 301-251-4500
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Mailing Address
Mrs. IRENE NINA FONCHAM
3531 SEAGRASS LN
LAUREL, MD 20724-2488
Phone number: 240-603-3438
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