Individual
MANU A FOFANAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9943 GOOD LUCK RD APT 204, LANHAM, MD 20706-3264
(240) 758-7040
(410) 946-2010
Mailing address
9943 GOOD LUCK RD APT 204, LANHAM, MD 20706-3264
(240) 758-7040
(410) 946-2010
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00140316
MD
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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