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Individual

FADIMATOU AYIAGNIGNI NONO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
524 PEACOCK DR, HYATTSVILLE, MD 20785-4600
(240) 714-7146
Mailing address
5200 QUINCY ST APT 307, BLADENSBURG, MD 20710-2352

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP57526
MD
164W00000X
Licensed Practical Nurse
LPN200002852
DC
374U00000X
Home Health Aide
HHA13694
DC

Other

Enumeration date
05/21/2018
Last updated
07/17/2024
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