Individual
TIGIST TILAHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3720 FARRAGUT AVE FL 2, KENSINGTON, MD 20895-2152
(301) 949-4242
Mailing address
3720 FARRAGUT AVE FL 2, KENSINGTON, MD 20895-2152
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R194613
MD
Other
Enumeration date
09/05/2018
Last updated
02/02/2021
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