Individual
FATMATA NYALLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3410 55TH AVE APT 302, HYATTSVILLE, MD 20784-1024
(240) 229-5654
Mailing address
3410 55TH AVE APT 302, HYATTSVILLE, MD 20784-1024
(240) 229-5654
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12550
DC
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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