TATA TERRENCE FONYUY

GREENBELT, MD
NPI1619759701
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2023-10-16
Last Update Date2023-12-28
Business Address
TATA TERRENCE FONYUY
7768 MANDAN RD
GREENBELT, MD 20770-2167
Phone number: 443-400-9759
Mailing Address
TATA TERRENCE FONYUY
7768 MANDAN RD
GREENBELT, MD 20770-2167
Phone number: 240-581-2141
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