Individual
BOUDAUN ABIT FONGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
3323 TEAGARDEN CIR APT 102, SILVER SPRING, MD 20904-7518
(240) 353-9439
Mailing address
3323 TEAGARDEN CIR APT 102, SILVER SPRING, MD 20904-7518
(240) 353-9439
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14718
DC
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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