Individual
BLANCH TANIFORM MANJOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9505 HOBART ST, SPRINGDALE, MD 20774-5444
(901) 453-5870
Mailing address
9505 HOBART ST, SPRINGDALE, MD 20774-5444
(901) 453-5870
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
DC
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
03/31/2026
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