Individual
ANYIKIA F FORTUCHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7711 RIVERDALE RD APT 203, NEW CARROLLTON, MD 20784-3940
(240) 640-0519
Mailing address
7711 RIVERDALE RD APT 203, NEW CARROLLTON, MD 20784-3940
(240) 640-0519
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/30/2012
Last updated
04/11/2018
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