Individual
JEPHTHAH TSE FRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7072 HANOVER PKWY, APT, D1, GREENBELT, MD 20770-2072
(240) 351-3039
Mailing address
7072 HANOVER PARK DRIVE, APT D1, GREENBELT, MD 20770
(240) 351-3039
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/24/2012
Last updated
05/19/2016
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