Individual
EDITTEFLORE KEYI TABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3213 AMADOR DR, HYATTSVILLE, MD 20785
(301) 318-2552
Mailing address
3213 AMADOR DR, HYATTSVILLE, MD 20785-2448
(301) 318-2552
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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