Individual
HAWA FOFANAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5305 85TH AVE, NEW CARROLLTON, MD 20784-3229
(240) 306-6963
(410) 496-2010
Mailing address
5305 85TH AVE, NEW CARROLLTON, MD 20784-3229
(240) 306-6963
(410) 496-2010
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
A00119905
MD
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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