Individual
AGNES FONCHA MALUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12230 APACHE TEARS CIR, LAUREL, MD 20708-2847
(301) 672-0061
Mailing address
12230 APACHE TEARS CIR, LAUREL, MD 20708-2847
(301) 672-0061
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA20005051
DC
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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