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1144578550
LISSETTE MUKE FONGE
HYATTSVILLE, MD
NPI
1144578550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2012-08-16
Last Update Date
2018-05-08
Business Address
LISSETTE MUKE FONGE
2306 BRIGHTSEAT RD APT 5
HYATTSVILLE, MD 20785-3550
Phone number: 202-758-4209
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Mailing Address
LISSETTE MUKE FONGE
2306 BRIGHTSEAT RD APT 5
HYATTSVILLE, MD 20785-3550
Phone number: 202-758-4209
Copy
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