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Individual

ACHITOPHEL MAFOCK KWET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6700 BELCREST RD, 530, HYATTSVILLE, MD 20782-1398
(202) 725-9312
Mailing address
6700 BELCREST RD, 530, HYATTSVILLE, MD 20782-1398
(202) 725-9312

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
06/26/2012
Last updated
06/26/2012
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