Most Relevant Information
Provider Data
| NPI Number: | 1003334814 |
| Provider Name: | FNU FRU FLORA AZIWOH |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: | HHA13028 |
Most Important Dates
| Enumeration Date: | 08/31/2017 |
| Last Updated: | 06/15/2023 |
Provider Practice Location
3414 55TH AVE APT 401
HYATTSVILLE
MD
207841029
Practice Location Phone/Fax
| Phone: | 2404674159 |
| Fax: |
Provider Mailing Location
3414 55TH AVE APT 401
HYATTSVILLE
MD
207841029
Provider Mailing Phone/Fax
| Phone: | 2404674159 |
| Fax: |