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Individual

BASSIE KENG TANJI I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2201 12TH ST NW, WASHINGTON, DC 20009-4457
(877) 659-4500
Mailing address
2201 12TH ST NW APT 201, WASHINGTON, DC 20009-4467
(877) 659-4500

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/19/2023
Last updated
10/24/2023
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