KINGSLY FOMBUTU GABILA

LANDOVER, MD
NPI1063064475
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
(Licence: DC  HHA14542)
Enumeration Date2019-07-15
Last Update Date2019-07-15
Business Address
KINGSLY FOMBUTU GABILA
1512 BRIGHTSEAT RD APT 202
LANDOVER, MD 20785-3755
Phone number: 240-476-0847
Mailing Address
KINGSLY FOMBUTU GABILA
1512 BRIGHTSEAT RD APT 202
LANDOVER, MD 20785-3755
Phone number: 240-476-0847