Individual
CLARISSE FANDJO NUPA EPSE MANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1070 COPPERSTONE CT # 712, ROCKVILLE, MD 20852-1144
(202) 713-6735
Mailing address
1070 COPPERSTONE CT # 712, ROCKVILLE, MD 20852-1144
(202) 713-6735
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11262
DC
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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