Tawa Y Fasan, HHA

NPI #1225377583 in Lanham, Maryland

Provider Information

NPI Number: 1225377583
Entity Type: Individual
Name: Tawa Y Fasan, HHA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Credential: HHA
Enumeration Date: Feb 6, 2013
Last Updated: Feb 6, 2013

Practice Location

Address: 5636 WHITFIELD CHAPEL RD APT 302
City: Lanham
State: Maryland
ZIP Code: 20706-2556
Phone: (301) 437-6318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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