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Individual

MR. COLLINS MIYEH TAH I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9891 GOOD LUCK RD APT 12, LANHAM, MD 20706-3239
(240) 898-8544
Mailing address
9891 GOOD LUCK RD APT 12, LANHAM, MD 20706-3239
(240) 898-8544

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
374U00000X
Home Health Aide
HHA14102
DC

Other

Enumeration date
11/12/2018
Last updated
06/13/2023
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