Individual
NJAH SIMON TETUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4660 MARTIN LUTHER KING JR AVE SW STE A1, WASHINGTON, DC 20032-4958
(202) 318-0179
Mailing address
10005 E FRANKLIN AVE, GLENN DALE, MD 20769-9279
(240) 550-1174
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
DC
374U00000X
Home Health Aide
—
DC
Other
Enumeration date
06/29/2012
Last updated
04/10/2025
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