Individual
DIVINE FOLEFAC ZISUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9893 GOOD LUCK RD, APT 7, LANHAM, MD 20706-3220
(202) 378-0041
Mailing address
9893 GOOD LUCK RD, APT 7, LANHAM, MD 20706-3220
(202) 378-0041
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
Z-200-143-258-871
MD
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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