Individual
MR. BRICE KADJI FOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8625 SAVANNAH RIVER RD, LAUREL, MD 20724-1956
(202) 882-9310
Mailing address
8625 SAVANNAH RIVER RD, LAUREL, MD 20724-1956
(202) 790-9588
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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