Individual
FEVEN MAMO
Active
Individual
FEVEN MAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
AFH100270
OR
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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