Healthcare Provider Details

I. General information

NPI: 1548126303
Provider Name (Legal Business Name): SONITA DONFACK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/24/2025
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9907 GREENBELT RD
LANHAM MD
20706-2241
US

IV. Provider business mailing address

9907 GREENBELT RD
LANHAM MD
20706-2241
US

V. Phone/Fax

Practice location:
  • Phone: 240-302-4729
  • Fax:
Mailing address:
  • Phone: 240-302-4729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200005842
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: