Most Relevant Information
Provider Data
| NPI Number: | 1003399973 |
| Provider Name: | MACROY FORLU ATEM |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: | HHA12074 |
Most Important Dates
| Enumeration Date: | 09/07/2018 |
| Last Updated: | 09/07/2018 |
Provider Practice Location
9867 GOOD LUCK RD APT 12
LANHAM
MD
207063227
Practice Location Phone/Fax
| Phone: | 2409703060 |
| Fax: |
Provider Mailing Location
9867 GOOD LUCK RD APT 12
LANHAM
MD
207063227
Provider Mailing Phone/Fax
| Phone: | 2409703060 |
| Fax: |