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Individual

FANAYE KENAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5929 QUANTRELL AVE, APT. 104, ALEXANDRIA, VA 22312-2725
(202) 468-0895
Mailing address
5929 QUANTRELL AVE, APT. 104, ALEXANDRIA, VA 22312-2725
(202) 468-0895

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11006
DC

Other

Enumeration date
02/25/2015
Last updated
02/25/2015
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