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Individual

UNKNOWN TANYI ROSELINE EGBE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(202) 894-6811
Mailing address
8814 HUNTING LN APT 102, LAUREL, MD 20708-1249
(240) 548-8907

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
294957
AZ
171M00000X
Case Manager/Care Coordinator
Primary
172V00000X
Community Health Worker

Other

Enumeration date
06/14/2023
Last updated
07/14/2025
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