Individual
MATHIAS FOTACHWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9141 LANHAM SEVERN RD, LANHAM, MD 20706-2915
(240) 988-8940
Mailing address
9141 LANHAM SEVERN RD, LANHAM, MD 20706-2915
(240) 988-8940
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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