Individual
FNU LINDA ATABONGAFAC TABRAZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3823 64TH AVE APT 103, HYATTSVILLE, MD 20784-1877
(301) 204-5027
Mailing address
3823 64TH AVE APT 103, HYATTSVILLE, MD 20784-1877
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12515
DC
Other
Enumeration date
11/23/2016
Last updated
04/18/2018
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