Individual
MACNUS TANJONG EYONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HOME HEALTH
Contact information
Practice address
7757 RIVERDALE RD APT 202, NEW CARROLLTON, MD 20784-3922
(202) 813-5177
Mailing address
7757 RIVERDALE RD APT 202, NEW CARROLLTON, MD 20784-3922
(202) 813-5177
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13009
DC
Other
Enumeration date
10/29/2020
Last updated
11/02/2020
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