Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fedelis Fondungallah

Individual provider Personal Care Attendant · NPI 1679403190

Fedelis Fondungallah is a Personal Care Attendant in Avondale, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2026
Specialties on file
2
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Practice location Address checks out

Visits clients at home This work is carried out in the client's own home, so the registered address is a private residence rather than a place you can visit. We do not publish it. Contact details come from the provider or the agency that employs them.

Avondale, AZ

No coordinates on file. Search this address in Google Maps

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X (AZ)
Personal Care Attendant Taxonomy 3747P1801X (AZ)

Record details

NPI number1679403190
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 19, 2026
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

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