Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Dierus Tebo Fon

Individual provider Case Manager/Care Coordinator · NPI 1649007758

Mr. Dierus Tebo Fon is a Case Manager/Care Coordinator in Rockville, Maryland. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

13303 Arctic Ave
Rockville, MD 20853-3013
Phone: (240) 579-5608
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1649007758
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 14, 2024
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025

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