Individual
AYAH MFOMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
790 FAIRVIEW AVE, TAKOMA PARK, MD 20912
(313) 258-1761
Mailing address
790 FAIRVIEW AVE, TAKOMA PARK, MD 20912-5979
(313) 258-1761
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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