Individual
MRS. FOTOCK EGE MOIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7826 EASTERN AVE NW STE LL16, WASHINGTON, DC 20012-1328
(202) 723-1100
Mailing address
8309 CARROLLTON PKWY, NEW CARROLLTON, MD 20784-3404
(202) 766-0743
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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