Individual
ATUD WILSON FOMUNYOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10409 FLORAL DR, ADELPHI, MD 20783-1225
(240) 595-7607
Mailing address
10409 FLORAL DR, ADELPHI, MD 20783-1225
(240) 595-7607
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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