Individual
FALLONE PERTURINE KEMENI EPSE KEPONDJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1836 METZEROTT RD APT 920, ADELPHI, MD 20783-3447
(301) 728-1475
Mailing address
1836 METZEROTT RD APT 920, ADELPHI, MD 20783-3447
(301) 728-1475
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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