Felicia Atemnkeng Fomenji

Individual provider Active NPI Home Health Aide · Springdale, MD

NPI 1356755367 · NPPES record last updated Jun 17, 2014

Key facts

NPI
1356755367
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
License
HHA10106 (DC)
Practice address
3605 Cara Dr
Springdale, MD 20774-5438
Phone
(240) 770-3726
NPI assigned
Jun 17, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
HHA10106DCMDHome Health Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA10106 DC Yes

Addresses

Primary practice location

3605 Cara Dr
Springdale, MD 20774-5438

Mailing address

3605 Cara Dr
Springdale, MD 20774-5438
Phone (240) 770-3726

Other providers in Springdale, MD

All providers in Springdale, MD · Home Health Aide in Maryland

Sources for this page

Verify at the official NPI Registry.