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NPI Code Detail

MEDICARE: MISS CHANTAL ANYEN MUNJONG

MEDICARE:  MISS CHANTAL ANYEN MUNJONG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health AideHHA15043DC

General Provider Information

NPI Number : 1184251183
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CHANTAL ANYEN MUNJONG
Provider Business Mailing Address
First Line : 6809 JADE CT
Second Line :
City : CAPITOL HEIGHTS
State : MD
Zip : 20743-1862
Country : US
Telephone Number : 301-433-5610
Fax Number :
Provider Business Practice Location Address
First Line : 6809 JADE CT
Second Line :
City : CAPITOL HEIGHTS
State : MD
Zip : 20743-1862
Country : US
Telephone Number : 301-433-5610
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2020
Last Update Date : 03/27/2020

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Directions to “ MISS CHANTAL ANYEN MUNJONG ” Practice Location

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