Individual
YVONNE TCHOUSSOM FANSI FANSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
309 SOUTHVIEW AVE, SILVER SPRING, MD 20905-5637
(202) 848-2546
Mailing address
309 SOUTHVIEW AVE, SILVER SPRING, MD 20905-5637
(202) 848-2546
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
MD
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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