Individual
THEOPHILUS TAKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7600 GEORGIA AVE NW, WASHINGTON, DC 20012-1616
(202) 723-3060
(202) 723-3065
Mailing address
7600 GEORGIA AVE NW, WASHINGTON, DC 20012-1616
(202) 723-3060
(202) 723-3065
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1029696
DC
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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