Individual
EVON ENJAFU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 LINDEN AVE APT 2, TAKOMA PARK, MD 20912-6514
(240) 701-3412
Mailing address
1102 LINDEN AVE, TAKOMA PARK, MD 20912-6514
(240) 701-3412
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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