KENNETH A FOMINYEN

TAKOMA PARK, MD
NPI1053678532
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2012-04-20
Last Update Date2012-04-20
Business Address
-- KENNETH A FOMINYEN
7401 NEW HAMPSHIRE AVE APT# 814
TAKOMA PARK, MD 20912-6945
Phone number: 202-722-1725
Mailing Address
-- KENNETH A FOMINYEN
7401 NEW HAMPSHIRE AVE APT# 814
TAKOMA PARK, MD 20912-6945
Phone number: