Individual
ETOTO V EPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6522 EDGERTON DR, LANHAM, MD 20706-3515
(240) 305-2580
Mailing address
1220 12TH ST SE STE G35, WASHINGTON, DC 20003-3738
(202) 544-8090
(202) 544-8091
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
HHA13689
DC
Other
Enumeration date
05/18/2018
Last updated
05/26/2023
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