Individual
ELISABETH LONGTCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 MARY A CT, BLADENSBURG, MD 20710-1650
(240) 460-3446
Mailing address
5601 MARY A CT, BLADENSBURG, MD 20710-1650
(240) 460-3446
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
L-523-209-019-896
MD
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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