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Fedelis Fondungallah — NPI 1679403190, Avondale, AZ | NPI Central

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NPI 1679403190

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Fedelis Fondungallah

NPI 1679403190 · Nurse's Aide · Avondale, AZ

Provider details

NPI number: 1679403190
Entity type: Individual
Primary specialty: Nurse's AideNursing Service Related Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Nurse's AidePrimary376K00000X
Nursing Service Related Providers
Personal Care Attendant3747P1801X
Nursing Service Related Providers

Practice location

11851 W Kinderman Dr

Avondale, AZ 85323-9115

Phone: (651) 235-3994

Approximate (ZIP-level) locationGet directions

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Mailing address

11851 W Kinderman Dr

Avondale, AZ 85323-9115

Registry dates

Enumerated: 2026-05-19
Last updated: 2026-05-19
Certified: 2026-05-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.