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1639659121
FNU FONTA LIEMBO FONTA
LANHAM, MD
NPI
1639659121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA13733)
Enumeration Date
2018-08-15
Last Update Date
2018-08-15
Business Address
FNU FONTA LIEMBO FONTA
6603 MANTON WAY
LANHAM, MD 20706-2490
Phone number: 703-944-2201
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Mailing Address
FNU FONTA LIEMBO FONTA
6603 MANTON WAY
LANHAM, MD 20706-2490
Phone number: 703-944-2201
Copy
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