Individual
RENE FANG KUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1220 12TH ST SE STE G35, WASHINGTON, DC 20003-3738
(202) 544-8090
(202) 544-8091
Mailing address
7937 JOHNSON AVE APT 1323, GLENARDEN, MD 20706-1749
(240) 929-7101
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
374U00000X
Home Health Aide
HHA13633
DC
Other
Enumeration date
06/29/2018
Last updated
10/25/2023
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