Provider Demographics
NPI:1851659783
Name:HAJI, FATUMA ABDALA
Entity Type:Individual
Prefix:MISS
First Name:FATUMA
Middle Name:ABDALA
Last Name:HAJI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 GREENWICH WOOD DR
Mailing Address - Street 2:APT 32
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-2104
Mailing Address - Country:US
Mailing Address - Phone:646-287-1199
Mailing Address - Fax:
Practice Address - Street 1:1801 GREENWICH WOOD DR
Practice Address - Street 2:APT 32
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-2104
Practice Address - Country:US
Practice Address - Phone:646-287-1199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-28
Last Update Date:2012-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide