Individual
GODLOVE FUNWI NEBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3904 LAWRENCE ST, BRENTWOOD, MD 20722-2120
(202) 451-9048
Mailing address
3904 LAWRENCE ST, BRENTWOOD, MD 20722-2120
(202) 451-9048
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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