Individual
GIDEON TEKEOH SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4209 RUSSELL AVE, MOUNT RAINIER, MD 20712-1722
(202) 617-8689
Mailing address
4209 RUSSELL AVE, MOUNT RAINIER, MD 20712-1722
(202) 617-8689
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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