Individual
JEAN LUC FOUDA ATANGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3801 KENILWORTH AVE APT 309W, BLADENSBURG, MD 20710-2119
(301) 751-5302
Mailing address
3801 KENILWORTH AVE APT 309W, BLADENSBURG, MD 20710-2119
(301) 751-5302
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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