Individual
FNU FLORENCE WANGO DABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5237 KENILWORTH AVE APT 103, HYATTSVILLE, MD 20781-2857
(240) 304-8150
Mailing address
5237 KENILWORTH AVE APT 103, HYATTSVILLE, MD 20781-2857
(240) 304-8150
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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