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Individual

FEDELIS NYIAWUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9110 MCHENRY LN, LANHAM, MD 20706-4158
(301) 404-4768
Mailing address
9110 MCHENRY LN, LANHAM, MD 20706-4158
(301) 404-4768

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200005786
DC

Other

Enumeration date
12/18/2025
Last updated
12/18/2025
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