Individual
TERENCE AZINWI NIBA TANIFUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4017 MINNESOTA AVE NE, WASHINGTON, DC 20019-3541
(202) 388-9202
Mailing address
9707 EVENING PRIMROSE DR APT 1C, LAUREL, MD 20723-6322
(540) 255-8896
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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