Individual
LYVETTE TANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6475 NEW HAMPSHIRE AVE, SUITE 350K, HYATTSVILLE, MD 20783-3269
(832) 382-2661
Mailing address
6475 NEW HAMPSHIRE AVE, SUITE 350K, HYATTSVILLE, MD 20783-3269
(832) 382-2661
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/29/2012
Last updated
04/29/2012
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