Individual
HAWA FORNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15104 DENNINGTON DR, BOWIE, MD 20721-3257
(240) 280-9360
Mailing address
15104 DENNINGTON DR, BOWIE, MD 20721-3257
(240) 280-9360
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
F-650298023857
MD
3747P1801X
Personal Care Attendant
—
MD
Other
Enumeration date
03/28/2020
Last updated
03/28/2020
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