Individual
ANICET TIBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
3305 CHAUNCEY PL APT 301, MOUNT RAINIER, MD 20712-1008
(202) 545-0935
Mailing address
3305 CHAUNCEY PL APT 301, MOUNT RAINIER, MD 20712-1008
(202) 545-0935
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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