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Individual

LAURANCE PUFONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9 FEATHERWOOD CT APT 42, SILVER SPRING, MD 20904-7609
(240) 713-0417
Mailing address
9 FEATHERWOOD CT APT 42, SILVER SPRING, MD 20904-7609
(240) 713-0417

Taxonomy

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

Other

Enumeration date
11/19/2013
Last updated
11/19/2013
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