Individual
GENET GONFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6040 14TH ST NW, APT 114, WASHINGTON, DC 20011
(703) 226-9923
Mailing address
6040 14TH ST NW, APT 114, WASHINGTON, DC 20011-1767
(703) 226-9923
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA9056
HHA
DC
Enumeration date
05/23/2014
Last updated
06/21/2018
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