Individual
COMFORT FOSAM FUNTIH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7715 RIVERDALE RD, NEW CARROLLTON, MD 20784-3943
(443) 333-3546
Mailing address
7715 RIVERDALE RD, NEW CARROLLTON, MD 20784-3943
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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