Individual
JASON MIKE TOGUE TAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2512 24TH ST NE, WASHINGTON, DC 20018-2126
(240) 779-7782
Mailing address
14337 GEORGIA AVE APT 301, SILVER SPRING, MD 20906-2784
(240) 779-7782
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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