Individual
JOHN AKA TATANGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14408 DOLBROOK LN, BOWIE, MD 20721-3218
(240) 960-9561
Mailing address
14408 DOLBROOK LN, BOWIE, MD 20721-3218
(240) 960-9561
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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