Individual
MOSEBOLATAN FELIX OTUGALU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3604 NEIGHBOR LN, HYATTSVILLE, MD 20785-1049
(240) 917-7190
Mailing address
3604 NEIGHBOR LN, HYATTSVILLE, MD 20785-1049
(240) 917-7190
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13166
DC
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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