Individual
FUKUIN NAYAH LARISSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9861 GOOD LUCK RD APT 7, LANHAM, MD 20706-3224
(240) 616-8241
Mailing address
9861 GOOD LUCK RD APT 7, LANHAM, MD 20706-3224
(240) 616-8241
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12923
WA
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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