Individual
NJINSO FORTU ANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 DODGE PARK RD, APT 102, HYATTSVILLE, MD 20785-2103
(240) 413-6305
(240) 413-6305
Mailing address
3301 DODGE PARK RD, APT 102, HYATTSVILLE, MD 20785-2103
(240) 413-6305
(240) 413-6305
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA6964
DC
Other
Enumeration date
08/23/2012
Last updated
07/19/2016
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