Individual
LAROSE G TIAM NWANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 DATELEAF AVE, CAPITOL HEIGHTS, MD 20743-6005
(202) 621-4311
Mailing address
510 DATELEAF AVE, CAPITOL HEIGHTS, MD 20743-6005
(202) 621-4311
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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