Individual
MARIE GAILLE FANKEP DJOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6735 NEW HAMPSHIRE AVE APT 913, TAKOMA PARK, MD 20912-2833
(240) 758-1867
Mailing address
6735 NEW HAMPSHIRE AVE APT 913, TAKOMA PARK, MD 20912-2833
(240) 758-1867
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14905
DC
Other
Enumeration date
12/24/2019
Last updated
12/30/2019
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