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1851041461
ACHIANU DIVINE FOLEFAC
LANHAM, MD
NPI
1851041461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: MD R212231)
Enumeration Date
2022-03-25
Last Update Date
2022-03-25
Business Address
ACHIANU DIVINE FOLEFAC
9470 ANNAPOLIS RD
LANHAM, MD 20706-3025
Phone number: 202-499-4300
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Mailing Address
ACHIANU DIVINE FOLEFAC
14410 STEPPING STONE WAY
BURTONSVILLE, MD 20866-1937
Phone number: 240-355-9619
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