Individual
MACROY FORLU ATEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9867 GOOD LUCK RD APT 12, LANHAM, MD 20706-3227
(240) 970-3060
Mailing address
9867 GOOD LUCK RD APT 12, LANHAM, MD 20706-3227
(240) 970-3060
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12074
DC
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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