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Individual

CONSTANTINE TIENGWIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3931 WARNER AVE APT 4, HYATTSVILLE, MD 20784-2065
(240) 696-9674
Mailing address
3931 WARNER AVE APT B4, HYATTSVILLE, MD 20784-2065

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA10511
DC

Other

Enumeration date
06/22/2015
Last updated
06/22/2015
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