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1154929305
ELIZABETH FORMUKONG
WASHINGTON, DC
NPI
1154929305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2020-10-10
Last Update Date
2020-10-10
Business Address
Mrs. ELIZABETH FORMUKONG
1510 MISSISSIPPI AVE SE
WASHINGTON, DC 20032-4431
Phone number: 202-716-3966
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Mailing Address
Mrs. ELIZABETH FORMUKONG
1510 MISSISSIPPI AVE SE
WASHINGTON, DC 20032-4431
Phone number:
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