Individual
AMAH C. TABOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5810 BLAIR RD NW, WASHINGTON, DC 20011-2393
(240) 643-5108
Mailing address
5810 BLAIR RD NW, WASHINGTON, DC 20011-2393
(240) 643-5108
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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