Individual
TEDELECH TAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14104 PUNCH ST, SILVER SPRING, MD 20906-2017
(240) 861-6273
Mailing address
14104 PUNCH ST, SILVER SPRING, MD 20906-2017
(240) 861-6273
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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