Individual
MELVIS AFANWI CHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9861 GOODLUCK RD, T1, LANHAM, MD 20706
(240) 559-8662
Mailing address
9861 GOOD LUCK RD APT T1, LANHAM, MD 20706-3211
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1401193849
VA
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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