Mirabel Fomenky

NPI #1154688638 in Greenbelt, Maryland

Provider Information

NPI Number: 1154688638
Entity Type: Individual
Name: Mirabel Fomenky
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Home Health Aide
Enumeration Date: Apr 20, 2012
Last Updated: Apr 20, 2012

Practice Location

Address: 5993 SPRINGHILL DR
Address 2: APT#304
City: Greenbelt
State: Maryland
ZIP Code: 20770-3110
Phone: (202) 722-1725

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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