SearchMarylandAttendant Care Provider

Livinus Fongang

NPI 1689386385 · on the registry since 2022

Practice

Address
3801 Kenilworth Ave
Bladensburg, MD 20710
Phone
(240) 825-6166
Clinicians at this address
25

Registry record

Primary taxonomy
Attendant Care Provider
3747A0650X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland