Individual
LARISSA T TENOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4645 NANNIE HELEN BURROUGHS AVE NE, WASHINGTON, DC 20019-3622
(202) 733-4904
Mailing address
6419 JODIE ST, NEW CARROLLTON, MD 20784-3633
(240) 636-2192
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
374U00000X
Home Health Aide
HHA13473
DC
Other
Enumeration date
02/01/2018
Last updated
12/13/2023
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