Individual
MR. FUANYI ATEAWUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5700 SILK TREE DR, RIVERDALE, MD 20737-3512
(240) 646-4649
Mailing address
5700 SILK TREE DR, RIVERDALE, MD 20737-3512
(240) 646-4649
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
A 352264001500
MD
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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