Individual
FORTUNATUS UGENYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14440 CHERRY LANE CT STE 102B, LAUREL, MD 20707-4946
(240) 646-2158
(240) 650-0860
Mailing address
14440 CHERRY LANE CT STE 102B, LAUREL, MD 20707-4946
(240) 646-2158
(240) 650-0860
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R3743R
MD
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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