Individual
EVERT FOTACHWI SUNGNYIN EPSE VOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6602 96TH AVE, LANHAM, MD 20706-3437
(202) 441-2589
Mailing address
6602 96TH AVE, LANHAM, MD 20706-3437
(202) 441-2589
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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