Individual
GUY-MARK TATIEFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 PARAMOUNT PARK DR APT 525, GAITHERSBURG, MD 20879-3594
(240) 929-7305
Mailing address
120 PARAMOUNT PARK DR APT 525, GAITHERSBURG, MD 20879-3594
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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