Individual
IVAN LAUTRY KINFACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3809 64TH AVE, LANDOVER HILLS, MD 20784-1816
(202) 306-9773
Mailing address
3809 64TH AVE, LANDOVER HILLS, MD 20784-1816
(202) 306-9773
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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