Individual
FEDILYNE SUH LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7831 RIVERDALE RD APT T3, NEW CARROLLTON, MD 20784-4016
(667) 392-3287
Mailing address
7831 RIVERDALE RD APT T3, NEW CARROLLTON, MD 20784-4016
(667) 392-3287
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200002681
DC
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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