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NPI Code Detail

MEDICARE: ROLAND FANYWI

MEDICARE:   ROLAND  FANYWI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health AideDC

General Provider Information

NPI Number : 1639033723
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROLAND FANYWI
Provider Business Mailing Address
First Line : 10206 INDIAN SUMMER CT
Second Line :
City : BOWIE
State : MD
Zip : 20721-3178
Country : US
Telephone Number : 240-870-0092
Fax Number :
Provider Business Practice Location Address
First Line : 10206 INDIAN SUMMER CT
Second Line :
City : BOWIE
State : MD
Zip : 20721-3178
Country : US
Telephone Number : 240-870-0092
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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Directions to “ ROLAND FANYWI ” Practice Location

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