Individual
LILIAN MANYI SAMA EPSE FOGWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
2218 BRIGHTSEAT RD, APT 201, LANDOVER, MD 20785-3514
(240) 413-4081
Mailing address
7600 GEORGIA AVE, SUITE 323, WASHINGTON, DC 20012
(202) 723-3060
(202) 723-3065
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1008520
DC
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/18/2013
Last updated
09/21/2017
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