DIVINE FOLEFAC ZISUH

LANHAM, MD
NPI1548522972
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
(Licence: MD  Z-200-143-258-871)
Enumeration Date2012-06-12
Last Update Date2012-06-12
Business Address
-- DIVINE FOLEFAC ZISUH
9893 GOOD LUCK RD APT 7
LANHAM, MD 20706-3220
Phone number: 202-378-0041
Mailing Address
-- DIVINE FOLEFAC ZISUH
9893 GOOD LUCK RD APT 7
LANHAM, MD 20706-3220
Phone number: 202-378-0041
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