Individual
HANRIGAN FOUNJEUM PAFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6015 67TH AVE APT 1, RIVERDALE, MD 20737-1762
(240) 460-7311
Mailing address
6015 67TH AVE APT 1, RIVERDALE, MD 20737-1762
(240) 460-7311
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14317
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P-100-298-258-949
LEARNERS PERMIT
MD
Enumeration date
03/01/2019
Last updated
03/01/2019
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