Individual
CLINTON T TANGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7981 NEW RIGGS RD APT 206, HYATTSVILLE, MD 20783-4869
(240) 760-9867
Mailing address
7981 NEW RIGGS RD APT 206, HYATTSVILLE, MD 20783-4869
(240) 760-9867
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
13135
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13135
HHA
DC
Enumeration date
10/03/2017
Last updated
06/11/2019
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