Individual
CRAIG FAUCETTE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3461 ORCHID PL UNIT C, WALDORF, MD 20602-2630
(240) 614-9616
Mailing address
3461 ORCHID PL UNIT C, WALDORF, MD 20602-2630
(240) 614-9616
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
—
374U00000X
Home Health Aide
Primary
—
DC
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/20/2020
Last updated
10/25/2023
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