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Individual

GENEVIEVE MACHEGUIA TAMO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6323 GEORGIA AVE NW, WASHINGTON, DC 20011-1101
(202) 506-1209
Mailing address
3675 PRINCE EDWARD DR, WHITE PLAINS, MD 20695-3422
(240) 714-1982

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13490
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HHA13490
DC
Enumeration date
02/12/2018
Last updated
02/12/2018
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