Individual
TITANJI VICTORY MBAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6475 NEW HAMPSHIRE AVE STE 315, HYATTSVILLE, MD 20783-3282
(240) 315-3101
Mailing address
6735 NEW HAMPSHIRE AVE APT T3, TAKOMA PARK, MD 20912-4811
(240) 860-4885
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA15350
DC
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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