Provider Demographics
NPI:1982431805
Name:FON, SYNTHIA
Entity type:Individual
Prefix:
First Name:SYNTHIA
Middle Name:
Last Name:FON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 SHERIDAN ST
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-3212
Mailing Address - Country:US
Mailing Address - Phone:202-938-4705
Mailing Address - Fax:
Practice Address - Street 1:621 SHERIDAN ST
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-3212
Practice Address - Country:US
Practice Address - Phone:202-938-4705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-16
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200004149374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide