WILSON CHICK FANSO FOMUKOM

BOWIE, MD
NPI1912719717
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2025-01-21
Last Update Date2025-01-21
Business Address
WILSON CHICK FANSO FOMUKOM
6421 GWINNETT LN
BOWIE, MD 20720-5320
Phone number: 202-604-4262
Mailing Address
WILSON CHICK FANSO FOMUKOM
6421 GWINNETT LN
BOWIE, MD 20720-5320
Phone number: 202-604-4262
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