Individual
AUGUSTINE N FOTSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 KENTLAND AVE, TAKOMA PARK, MD 20912-6522
(571) 501-9460
Mailing address
1003 KENTLAND AVE, TAKOMA PARK, MD 20912-6522
(571) 501-9460
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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