Individual
ELIAS BOTAME ESAPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
955 E WEST HWY APT 36, TAKOMA PARK, MD 20912
(301) 256-8507
Mailing address
955 E WEST HWY APT 36, TAKOMA PARK, MD 20912
(301) 256-8507
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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