Individual
ARNAUDE XAVIER MADJOUKOUO FONGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9749 GOOD LUCK RD, LANHAM, MD 20706-3324
(240) 470-5068
Mailing address
9749 GOOD LUCK RD, LANHAM, MD 20706-3324
(240) 470-5068
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200002758
DC
Other
Enumeration date
03/29/2023
Last updated
10/03/2024
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