Individual
AYONG FABRICE AJEITOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1603 KINDLEWOOD ST, HYATTSVILLE, MD 20785-3835
(240) 736-9235
Mailing address
1603 KINDLEWOOD ST, HYATTSVILLE, MD 20785-3835
(240) 736-9235
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
374U00000X
Home Health Aide
—
MD
Other
Enumeration date
02/21/2025
Last updated
08/08/2025
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