FNU FONTA LIEMBO FONTA

LANHAM, MD
NPI1639659121
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: DC  HHA13733)
Enumeration Date2018-08-15
Last Update Date2018-08-15
Business Address
FNU FONTA LIEMBO FONTA
6603 MANTON WAY
LANHAM, MD 20706-2490
Phone number: 703-944-2201
Mailing Address
FNU FONTA LIEMBO FONTA
6603 MANTON WAY
LANHAM, MD 20706-2490
Phone number: 703-944-2201