DERICK FONONG

WASHINGTON, DC
NPI1558621896
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2012-05-21
Last Update Date2012-05-21
Business Address
-- DERICK FONONG
1818 NEW YORK AVE NE 228
WASHINGTON, DC 20002-1848
Phone number: 202-832-8340
Mailing Address
-- DERICK FONONG
1818 NEW YORK AVE NE 228
WASHINGTON, DC 20002
Phone number: 202-832-8340