Individual
FALONNE BOUFAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 24TH ST NE APT 203, WASHINGTON, DC 20002-1920
(301) 401-7069
Mailing address
1811 24TH ST NE APT 203, WASHINGTON, DC 20002-1920
(301) 401-7069
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13423
DC
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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