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Individual

MISS BATOMEN MARCELLE FABO I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D

Contact information

Practice address
6733 NEW HAMPSHIRE, #509, TAKOMA PARK, MD 20912
(561) 306-0988
Mailing address
1210 MYRTLE AVE APT 101, TAKOMA PARK, MD 20912-6506
(561) 306-0988

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HHA6918
DC
302R00000X
Health Maintenance Organization
HHA6918
DC
374U00000X
Home Health Aide
Primary
HHA6918

Other

Enumeration date
07/17/2013
Last updated
03/15/2018
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