FANTA BERETEY

WALDORF, MD
NPI1346850609
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: DC  RN1057551)
Enumeration Date2020-08-03
Last Update Date2020-08-03
Business Address
FANTA BERETEY
10611 SOURWOOD AVE
WALDORF, MD 20603-5717
Phone number: 571-623-1322
Mailing Address
FANTA BERETEY
10611 SOURWOOD AVE
WALDORF, MD 20603-5717
Phone number: 571-623-1322
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