BRICE KADJI FOGAN

LAUREL, MD
NPI1124532221
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2017-11-28
Last Update Date2017-11-28
Business Address
Mr. BRICE KADJI FOGAN
8625 SAVANNAH RIVER RD
LAUREL, MD 20724-1956
Phone number: 202-882-9310
Mailing Address
Mr. BRICE KADJI FOGAN
8625 SAVANNAH RIVER RD
LAUREL, MD 20724-1956
Phone number: 202-790-9588