Individual
FOZIYA NEGASH BULTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12008 BRONZEGATE PL, SILVER SPRING, MD 20904-1945
(240) 528-1896
Mailing address
12008 BRONZEGATE PL, SILVER SPRING, MD 20904-1945
(240) 528-1896
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
A00171551
MD
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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