Individual
MATOUMA FONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7114 SPLIT RAIL LN, LAUREL, MD 20707-5361
(202) 388-4320
Mailing address
7114 SPLIT RAIL LN, LAUREL, MD 20707-5361
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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