Individual
KENNETH M TEBONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
13920 CASTLE BLVD APT 502, SILVER SPRING, MD 20904-4959
(202) 545-0935
(202) 545-0176
Mailing address
13920 CASTLE BLVD APT 502, SILVER SPRING, MD 20904-4959
(202) 545-0935
(202) 545-0176
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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