Individual
CHANTALE MUTAGHA EPSE TEZOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7513 BUCHANAN ST APT 127, LANDOVER HILLS, MD 20784-6310
(240) 696-9535
Mailing address
7513 BUCHANAN ST APT 127, LANDOVER HILLS, MD 20784-6310
(240) 696-9535
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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