Charles Fongoh
Charles Fongoh is a Nurse's Aide in Capitol Heights, Maryland. Practices as a sole proprietor. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
5614 Malvern WayCapitol Heights, MD 20743-3051
Phone: (443) 366-0957
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Nurse's Aide | Taxonomy 376K00000X · Licence A00197241 (MD) |
Record details
| NPI number | 1073284808 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 22, 2021 |
| Last updated in NPPES | August 8, 2024 |
| Certification date | August 8, 2024 |
| Mailing address | 5614 Malvern Way, Capitol Heights, MD 20743-3051 |
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