BASIL NGULEFAC FOTABONG

COLLEGE PARK, MD
NPI1982946521
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2013-03-21
Last Update Date2013-03-21
Business Address
-- BASIL NGULEFAC FOTABONG
4920 NIAGARA RD STE 3188
COLLEGE PARK, MD 20740-1110
Phone number: 301-982-6477
Mailing Address
-- BASIL NGULEFAC FOTABONG
4920 NIAGARA RD STE 3188
COLLEGE PARK, MD 20740-1110
Phone number: 301-982-6477
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