Individual
FEH FOGAM-FOMINYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10514 RACETRACK RD, BERLIN, MD 21811-3241
(410) 973-2305
Mailing address
10514 RACETRACK RD, G, BERLIN, MD 21811
(410) 973-2305
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/10/2017
Last updated
09/10/2017
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