Individual
FIDELIS N. ATABONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3235 PURPLE LEAF LN, LAUREL, MD 20724-6132
(240) 476-6795
Mailing address
3235 PURPLE LEAF LN, LAUREL, MD 20724-6132
(240) 476-6795
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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