FANTA FOFANA

LANHAM, MD
NPI1285056150
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: DC  HHA10231)
Enumeration Date2014-01-13
Last Update Date2014-01-13
Business Address
Ms. FANTA FOFANA
9729 GOOD LUCK RD APT 3
LANHAM, MD 20706-3314
Phone number: 240-354-1538
Mailing Address
Ms. FANTA FOFANA
9729 GOOD LUCK RD APT 3
LANHAM, MD 20706-3314
Phone number: 240-354-1538