Individual
ALICE MFORMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5225 KENILWORTH AVE APT 202, HYATTSVILLE, MD 20781-2850
(202) 758-6421
Mailing address
5225 KENILWORTH AVE APT 202, HYATTSVILLE, MD 20781-2850
(202) 758-6421
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11768
DC
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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