Individual
AZENGANYI PRUDENCIA FUANYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7506 GEORGIA AVE NW, WASHINGTON, DC 20012-1608
(202) 291-6973
(202) 291-0037
Mailing address
5620 WHITFIELD CHAPEL RD APT 101, LANHAM, MD 20706-2548
(240) 413-9906
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9546080
DC
163W00000X
Registered Nurse
9546080
FL
374U00000X
Home Health Aide
Primary
HHA13023
DC
Other
Enumeration date
09/19/2017
Last updated
12/14/2020
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