Individual
FABRICE VANCE NFON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9925 GREENBELT RD APT 102, LANHAM, MD 20706-2250
(240) 615-6847
Mailing address
9925 GREENBELT RD APT 102, LANHAM, MD 20706-2250
(240) 615-6847
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11018
DC
Other
Enumeration date
12/24/2014
Last updated
12/24/2014
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