Individual
JOHN FORNUH FRU SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7908 25TH AVE, ADELPHI, MD 20783-2634
(301) 655-0275
Mailing address
7908 25TH AVE, ADELPHI, MD 20783-2634
(301) 655-0275
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11348
DC
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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