Individual
HONORINE AZIEH FORMIKONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
3257 QUEENSTOWN DR APT 303, MOUNT RAINIER, MD 20712-1071
(202) 545-0935
(202) 545-0176
Mailing address
3257 QUEENSTOWN DR APT 303, MOUNT RAINIER, MD 20712-1071
(202) 545-0935
(202) 545-0176
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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