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Fonda Shu-Ayanji

Home Health Aide in Silver Spring, MD. Individual provider (NPI-1).

NPI number1720337652
StatusActive
Last updated in NPPESSep 6, 2012

Details

NPI
1720337652
Entity type
Individual (NPI-1)
Name
Fonda Shu-Ayanji
Sex
Male
Sole proprietor
No
Enumeration date
Sep 6, 2012
Last updated
Sep 6, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide–DCYes

Practice location

11513 Lockwood Dr Apt 8
Silver Spring, MD 20904-2400

Phone 240-351-1859

Mailing address

11513 Lockwood Dr Apt 8
Silver Spring, MD 20904-2400

Phone 240-351-1859

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