Individual
MIRANDA FOZAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4660 MARTIN LUTHER KING JR AVE SW, WASHINGTON, DC 20032-4933
(240) 413-5244
Mailing address
4045 WARNER AVE APT B4, LANDOVER HILLS, MD 20784-1940
(240) 413-5244
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
HHA10632
DC
Other
Enumeration date
05/07/2015
Last updated
12/12/2024
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