Individual
HERDRINA FONDIKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7977 RIGGS RD APT 6, HYATTSVILLE, MD 20783-4582
(240) 564-8982
Mailing address
7977 RIGGS RD APT 6, HYATTSVILLE, MD 20783-4582
(240) 564-8982
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA15729
DC
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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