Individual
LINE SANDRA SANDRA TANONKO MAFEUGONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 VERMONT AVE NW STE 1003, WASHINGTON, DC 20005-4927
(844) 381-4432
Mailing address
1804 FOX ST APT 202, ADELPHI, MD 20783-2348
(864) 395-7062
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
T-552-522-014-901
MD
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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