Individual
ECIA MIRIAN TANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2600 WALLINGFORD CT, BOWIE, MD 20721-3183
(240) 423-6422
Mailing address
2600 WALLINGFORD CT, BOWIE, MD 20721-3183
(240) 423-6422
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
A00180500
MD
374U00000X
Home Health Aide
Primary
HHA200001698
DC
376K00000X
Nurse's Aide
A00180500
MD
Other
Enumeration date
10/07/2020
Last updated
11/20/2025
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