Individual
ZITA CHRISTINE FOMO TANGYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 RIDGEBORNE DR, ROSEDALE, MD 21237-3803
(443) 467-7487
Mailing address
6500 RIDGEBORNE DR, ROSEDALE, MD 21237-3803
(443) 467-7487
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02318
MD
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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