CLETUS NTUNGWEN FONGOH

COLLEGE PARK, MD
NPI1750724068
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2013-04-17
Last Update Date2013-04-17
Business Address
-- CLETUS NTUNGWEN FONGOH
4920 NIAGARA RD STE 318
COLLEGE PARK, MD 20740-1110
Phone number: 301-982-6477
Mailing Address
-- CLETUS NTUNGWEN FONGOH
4920 NIAGARA RD STE 318
COLLEGE PARK, MD 20740-1110
Phone number: 301-982-6477