Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Deogracias V. Faustino | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States | [sources] | |||
Description | License No: D12901 | [sources] | |||
First name | Deogracias V. | [sources] | |||
Last name | Faustino | [sources] | |||
NPI | 1164504528 | [sources] | |||
Sector | MD | [sources] | |||
Address | 4111 LOWER BECKLEYSVILLE, HAMPSTEAD, MD 21074-0000 | [sources] | |||
Last change | Last processed | First seen |
Medical providers deemed ineligible to participate in Maryland's Medicaid program.
United States of America · MDH
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