Individual
MR. TERSON N Y TATAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1403 WHOOPING CT, UPPER MARLBORO, MD 20774-7086
(240) 476-2964
Mailing address
1403 WHOOPING CT, UPPER MARLBORO, MD 20774-7086
(240) 476-2964
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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