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Individual

FNU MARY CHRISTY KAHMA FOHTUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5600 WHITFIELD CHAPEL RD APT 101, LANHAM, MD 20706-2541
(240) 468-8841
Mailing address
5600 WHITFIELD CHAPEL RD APT 101, LANHAM, MD 20706-2541
(240) 468-8841

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
A00191355
MD
Enumeration date
01/06/2021
Last updated
01/06/2021
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