Individual
DORA ALICIA FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
298 QUARRY AVE, CAPITOL HEIGHTS, MD 20743-3321
(202) 669-2405
Mailing address
298 QUARRY AVE, CAPITOL HEIGHTS, MD 20743-3321
(202) 669-2405
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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