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Individual

OLYVIA TANKOH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4017 MINNESOTA AVE NE, WASHINGTON, DC 20019-3541
(202) 388-9202
(202) 388-9209
Mailing address
7747 RIVERDALE RD APT 202, NEW CARROLLTON, MD 20784-3919
(240) 791-1070

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
374U00000X
Home Health Aide
HHA200001224

Other

Enumeration date
07/28/2021
Last updated
06/14/2023
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