Individual
FNU FRANKLINE EKESAGHA FOTABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 QUEENS CHAPEL RD APT 207, HYATTSVILLE, MD 20782-3632
(240) 615-7239
Mailing address
2400 QUEENS CHAPEL RD APT 207, HYATTSVILLE, MD 20782-3632
(240) 615-7239
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13383
DC
Other
Enumeration date
12/26/2017
Last updated
04/23/2018
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