Individual
LONGTSI BOMA JANICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7751 RIVERDALE RD APT 203, NEW CARROLLTON, MD 20784-3916
(301) 732-0607
Mailing address
7751 RIVERDALE RD APT 203, NEW CARROLLTON, MD 20784-3916
(301) 732-0607
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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