Individual
AGNES MAUREEN BANBOYE LAINJO FONYUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11411 PROSPECT CT, GLENN DALE, MD 20769-9451
(240) 571-1610
Mailing address
11411 PROSPECT CT, GLENN DALE, MD 20769-9451
(240) 571-1610
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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