Individual
DEVINE FOGANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 24TH ST NE, 203, WASHINGTON, DC 20002-1936
(202) 660-8769
Mailing address
1810 24TH ST NE, 203, WASHINGTON, DC 20002-1936
(202) 660-8769
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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