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1407218266
FON ELVIS TIFANG
UPPER MARLBORO, MD
NPI
1407218266
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Other Name
FON ELVIS TIFANG
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA11914)
Enumeration Date
2016-03-22
Last Update Date
2016-03-22
Business Address
-- FON ELVIS TIFANG
15524 FINCHINGFIELD WAY
UPPER MARLBORO, MD 20774-8091
Phone number: 240-360-9129
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Mailing Address
-- FON ELVIS TIFANG
15524 FINCHINGFIELD WAY
UPPER MARLBORO, MD 20774-8091
Phone number: 240-360-9129
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