Henry Fontem
Licensed Practical Nurse in Washington, DC. Individual provider (NPI-1).
NPI number1295166320
StatusActive
Last updated in NPPESNov 27, 2013
Details
- NPI
- 1295166320
- Entity type
- Individual (NPI-1)
- Name
- Henry Fontem
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 27, 2013
- Last updated
- Nov 27, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LPN1005635 | DC | Yes |
Practice location
3500 18th St NeWashington, DC 20018-2738
Phone 202-529-6510
Mailing address
3500 18th St NeWashington, DC 20018-2738
Phone 202-529-6510
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