Individual
ACHIATH TIDJANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5217 LEVERETT ST, OXON HILL, MD 20745-2033
(202) 600-1804
Mailing address
5217 LEVERETT ST, OXON HILL, MD 20745-2033
(202) 600-1804
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12052
DC
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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