Individual
FATU NAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2017 GLENALLAN AVE, SILVER SPRING, MD 20902-1372
(301) 760-8577
Mailing address
2017 GLENALLAN AVE, SILVER SPRING, MD 20902-1372
(301) 760-8577
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA15839
DC
376K00000X
Nurse's Aide
—
MD
Other
Enumeration date
05/20/2021
Last updated
06/13/2024
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