Individual
FIONA IMELDA DOMFANG FOTSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6733 NEW HAMPSHIRE AVE APT 304, TAKOMA PARK, MD 20912-2842
(315) 572-9327
Mailing address
6733 NEW HAMPSHIRE AVE APT 304, TAKOMA PARK, MD 20912-2842
(315) 572-9327
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0000813357
DC
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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