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1942565221
MATHIAS FOTACHWI
LANHAM, MD
NPI
1942565221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2012-07-11
Last Update Date
2012-07-11
Business Address
-- MATHIAS FOTACHWI
9141 LANHAM SEVERN RD
LANHAM, MD 20706-2915
Phone number: 240-988-8940
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Mailing Address
-- MATHIAS FOTACHWI
9141 LANHAM SEVERN RD
LANHAM, MD 20706-2915
Phone number: 240-988-8940
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