SearchMaryland374U00000X

Charles Etolue

NPI 1487272886 · on the registry since 2020

Practice

Address
6111 Kovach Ct
Ellicott City, MD 21043
Phone
(703) 898-7628
Organisation at this address
Omega Health Care, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
374U00000X
374U00000X
Sex
Male
Record last updated
2020-07-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland