Individual
FABIENNE REINE EBONJI EPANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12634 GREY EAGLE CT APT 43, GERMANTOWN, MD 20874-5312
(202) 280-8531
Mailing address
12634 GREY EAGLE CT APT 43, GERMANTOWN, MD 20874-5312
(202) 280-8531
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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