Individual
AFOUSSATH AMOUSSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5021 TOWNSEND WAY, A3, BLADENSBURG, MD 20710
(240) 509-3603
Mailing address
5021 TOWNSEND WAY, A3, BLADENSBURG, MD 20710
(240) 509-3603
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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