Individual
NDIKUM LIONEL TANTOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 GOOD HOPE RD SE, WASHINGTON, DC 20020-3011
(202) 866-7505
Mailing address
10037 LOCUST ST, GLENN DALE, MD 20769-9270
(240) 938-9900
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
12/23/2015
Last updated
08/17/2023
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