Individual
FATMATA KANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9801 GOOD LUCK RD APT 4, LANHAM, MD 20706-3352
(240) 354-0920
Mailing address
9801 GOOD LUCK RD APT 4, LANHAM, MD 20706-3352
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200002852
DC
Other
Enumeration date
05/24/2021
Last updated
06/05/2024
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