Individual
JUSTLINE TAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4017 MINNESOTA AVE NE, WASHINGTON, DC 20019-3541
(202) 388-9202
(202) 388-4339
Mailing address
660 STREFORD WAY, UNIT 210, HYATTSVILLE, MD 20785-1234
(301) 648-8594
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
500018807
DC
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/11/2017
Last updated
05/07/2025
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