Individual
MRS. FUALEFAC BENGANGACHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
11450 LOCKWOOD DR APT 402, SILVER SPRING, MD 20904-2670
(667) 228-3553
Mailing address
11450 LOCKWOOD DR APT 402, SILVER SPRING, MD 20904-2670
(667) 228-3553
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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