Individual
COLUMBUS FORETIA ACHANKENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3412 DODGE PARK RD APT 101, HYATTSVILLE, MD 20785-2027
(240) 237-2884
Mailing address
3412 DODGE PARK RD APT 101, HYATTSVILLE, MD 20785-2027
(240) 237-2884
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
11/23/2018
Last updated
11/23/2018
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