Individual
FNU LAURA EWENYE MONDOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5811 84TH AVE, NEW CARROLLTON, MD 20784-2921
(301) 915-6067
Mailing address
7112 KEMPTON RD, LANHAM, MD 20706-1102
(240) 917-0499
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14281
DC
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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