Individual
TIERAH WIDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3298 FORT LINCOLN DR NE APT 215, WASHINGTON, DC 20018-4306
(202) 489-1262
Mailing address
639 AUDREY LN APT 301, OXON HILL, MD 20745-4614
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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