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1467289405
SOPHINA YOMANTAP MONGU
LANHAM, MD
NPI
1467289405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2024-09-16
Last Update Date
2024-09-16
Business Address
SOPHINA YOMANTAP MONGU
4303 CRELIN PL
LANHAM, MD 20706-1936
Phone number: 202-591-6924
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Mailing Address
SOPHINA YOMANTAP MONGU
4303 CRELIN PL
LANHAM, MD 20706-1936
Phone number: 202-591-6924
Copy
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