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1558621896
DERICK FONONG
WASHINGTON, DC
NPI
1558621896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2012-05-21
Last Update Date
2012-05-21
Business Address
-- DERICK FONONG
1818 NEW YORK AVE NE 228
WASHINGTON, DC 20002-1848
Phone number: 202-832-8340
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Mailing Address
-- DERICK FONONG
1818 NEW YORK AVE NE 228
WASHINGTON, DC 20002
Phone number: 202-832-8340
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