Individual
AKUM RELINDISE FONGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3510 HUBBARD RD APT 304, HYATTSVILLE, MD 20785-2080
(240) 360-6641
Mailing address
3510 HUBBARD RD APT 304, HYATTSVILLE, MD 20785-2080
(240) 360-6641
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13937
DC
Other
Enumeration date
08/29/2018
Last updated
09/27/2018
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