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NPI Code Detail

MEDICARE: DESMOND FON

MEDICARE: DESMOND FON
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 Aide
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1528417359
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESMOND FON
Provider Business Mailing Address
First Line : 502 KENNEDY ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-3136
Country : US
Telephone Number : 202-313-7283
Fax Number : 202-545-1645
Provider Business Practice Location Address
First Line : 502 KENNEDY ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-3136
Country : US
Telephone Number : 202-313-7283
Fax Number : 202-545-1645
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2016
Last Update Date : 06/30/2023

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Directions to “ DESMOND FON ” Practice Location

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