LIVET ECHICK MUKUM FONGANG

BOWIE, MD
NPI1447780366
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: DC  HHA12593)
Enumeration Date2017-06-13
Last Update Date2018-03-30
Business Address
LIVET ECHICK MUKUM FONGANG
4506 WOODGATE WAY
BOWIE, MD 20720-3449
Phone number: 240-714-8332
Mailing Address
LIVET ECHICK MUKUM FONGANG
4506 WOODGATE WAY
BOWIE, MD 20720-3449
Phone number: 240-714-8332
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