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Livet Mukum Fongang
NPI 1447780366 · on the registry since 2017 · sole proprietor
Practice
- Address
- 4506 Woodgate Way
Bowie, MD 20720 - Phone
- (240) 714-8332
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Home Health Aide
374U00000X
- Licence states on file
- DC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland