Individual
FENTIEH NCHAJE SOLANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2714 HOLLYWELL CT, BOWIE, MD 20721
(240) 918-0903
Mailing address
2714 HOLLYWELL CT, BOWIE, MD 20721-3013
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13625
DC
Other
Enumeration date
05/01/2018
Last updated
05/15/2018
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