Individual
ANNE MARIE AZAH FONDIKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2705 WEBSTER ST, MOUNT RAINIER, MD 20712-1585
(240) 791-8807
Mailing address
2705 WEBSTER ST, MOUNT RAINIER, MD 20712-1585
(240) 791-8807
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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