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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LUCAS MBAKWA FONCHAM

Active

LUCAS MBAKWA FONCHAM is a Nurse's Aide healthcare provider located in TAKOMA PARK, Maryland. NPI 1134891633 is currently active in the NPPES registry. Verify at CMS.

Nurse's Aide · TAKOMA PARK, MD

Registration Details

NPI Number
1134891633
Provider Type
Individual
Gender
Male
NPI Issued
Oct 2, 2021 (4.8476680192369 yrs)
Last Updated
Oct 2, 2021

Practice Information

Address
780 FAIRVIEW AVE APT 605
TAKOMA PARK, MD, 209125951
Browse MD providers · Browse ZIP 20912
Phone
2027792523
Primary Specialty
Nurse's Aide
376K00000X

Other Nurse's Aide Providers in TAKOMA PARK, MD

Name Credential NPI
NYEE BLECK 1457716110
ARLETTE ANKOUONG 1083061386
ODETTE MOKUBA 1467082354
AICHA KASSA 1346831831
MARYO LANDE TATCHIM DEMGNE 1609461771
AISSATOU SARR THIAM 1386219509
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.