Individual
MISPAH FORSAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
780 FAIRVIEW AVE, 510, TAKOMA PARK, MD 20912-5978
(301) 408-8537
Mailing address
780 FAIRVIEW AVE, 510, TAKOMA PARK, MD 20912-5978
(301) 408-8537
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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