Individual
MISS MIRABEL ANGUM FONJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
3320 TOLEDO TER APT P5, HYATTSVILLE, MD 20782-4153
(240) 501-5142
Mailing address
3320 TOLEDO TER APT P5, HYATTSVILLE, MD 20782-4153
(240) 501-5142
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
374U00000X
MD
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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