Individual
CLINTIN FAI NDI I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3301 DODGE PARK RD APT 304, HYATTSVILLE, MD 20785-2103
(240) 688-7705
Mailing address
3301 DODGE PARK RD APT 304, HYATTSVILLE, MD 20785-2103
(240) 688-7705
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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