Individual
FANNY VIOLET LUM SUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3404 DODGE PARK RD APT T2, HYATTSVILLE, MD 20785-2011
(202) 875-3890
Mailing address
3404 DODGE PARK RD APT T2, HYATTSVILLE, MD 20785-2011
(202) 875-3890
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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