Female

Larissa Fon Tendo

Adult Companion in Bowie, MD(View on Map)

Full Name

Larissa Fon Tendo

NPI Number

1457095465

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/25/2022

Specialties

(Taxonomies)

Code

372600000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

4011 EASTVIEW CT
4011 EASTVIEW CT

City

Bowie
Bowie

State

MD
MD

Postal Code

20716-7328
20716-7328

Country

US
US

Telephone Number

(240) 381-7778
(240) 381-7778

Identifiers

Identifier

218779485

Identifier State

MD

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/25/2022

Provider Address

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