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Individual

TIKUN AWAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6475 NEW HAMPSHIRE AVE STE 504F, HYATTSVILLE, MD 20783-3277
(301) 560-1352
Mailing address
6475 NEW HAMPSHIRE AVE, STE # 504F, HYATTSVILLE, MD 20783
(301) 560-1352

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
50204
DC

Other

Enumeration date
06/25/2013
Last updated
06/25/2013
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