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1285056150
FANTA FOFANA
LANHAM, MD
NPI
1285056150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA10231)
Enumeration Date
2014-01-13
Last Update Date
2014-01-13
Business Address
Ms. FANTA FOFANA
9729 GOOD LUCK RD APT 3
LANHAM, MD 20706-3314
Phone number: 240-354-1538
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Mailing Address
Ms. FANTA FOFANA
9729 GOOD LUCK RD APT 3
LANHAM, MD 20706-3314
Phone number: 240-354-1538
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