Individual
DIVINE TETUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7733 RIVERDALE RD APT T3, NEW CARROLLTON, MD 20784-3906
(240) 559-4077
Mailing address
7733 RIVERDALE RD APT T3, NEW CARROLLTON, MD 20784-3906
(240) 559-4077
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
09/29/2022
Last updated
11/14/2024
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