Individual
LILIANE FOBASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9562 NATURE TRL, MONTGOMERY VILLAGE, MD 20886-3173
(240) 645-3825
Mailing address
9562 NATURE TRL, MONTGOMERY VILLAGE, MD 20886-3173
(240) 645-3825
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200005634
DC
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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