Provider Demographics
NPI:1932463957
Name:FRU, HILDA LUM
Entity Type:Individual
Prefix:
First Name:HILDA
Middle Name:LUM
Last Name:FRU
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 1:106 SUNMAR CT
Mailing Address - Street 2:APT 4B
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21207-5855
Mailing Address - Country:US
Mailing Address - Phone:443-723-7155
Mailing Address - Fax:
Practice Address - Street 1:106 SUNMAR CT
Practice Address - Street 2:APT 4B
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21207-5855
Practice Address - Country:US
Practice Address - Phone:443-723-7155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide