Individual
NELSON TEBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11302 SPRINGPARK CT, GLENN DALE, MD 20769-9611
(240) 467-6589
Mailing address
11302 SPRINGPARK CT, GLENN DALE, MD 20769-9611
(240) 467-6589
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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