Individual
FAUSTIN TCHAKOUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9510 NORDIC DR, LANHAM, MD 20706-3630
(301) 573-0592
Mailing address
9510 NORDIC DR, LANHAM, MD 20706-3630
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/21/2013
Last updated
04/21/2013
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