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1952666703
DERICK FONJONG DOH
LANHAM, MD
NPI
1952666703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2012-07-09
Last Update Date
2012-07-09
Business Address
-- DERICK FONJONG DOH HHA
6817 WOODSTREAM CIR
LANHAM, MD 20706-2133
Phone number: 202-545-0935
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Mailing Address
-- DERICK FONJONG DOH HHA
6817 WOODSTREAM CIR
LANHAM, MD 20706-2133
Phone number: 202-545-0935
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