WILSON CHICK FANSO FOMUKOM

Home Health Aide

NPI: 1912719717Individual

Specialties, Licenses & Credentials

Home Health AidePrimary

Home Health Aide

Code: 374U00000X

Contact & Hours

Address: 6421 GWINNETT LN
BOWIE, MD 20720
Phone: (202) 604-4262

Quick Facts

NPI: 1912719717
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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