Individual
MR. COLLINS L TAZOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(202) 894-6811
Mailing address
9931 GREENBELT RD APT 201, LANHAM, MD 20706-2222
(240) 360-8010
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
374U00000X
Home Health Aide
HHA13770
DC
Other
Enumeration date
07/19/2018
Last updated
07/20/2023
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