Individual
BELTUS FUSI CHOFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9712 BALD HILL RD, BOWIE, MD 20721-2875
(240) 701-0866
Mailing address
9712 BALD HILL RD, BOWIE, MD 20721-2875
(240) 701-0866
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA9854
DC
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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