Individual
MARTIN EFEUTFACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2104 COLUMBIA AVE, HYATTSVILLE, MD 20785-4948
(571) 510-1024
Mailing address
2104 COLUMBIA AVE, HYATTSVILLE, MD 20785-4948
(571) 510-1024
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11885
DC
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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