Individual
CLAUDINE E MBAKU TIKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 KINGSHILL ST, BOWIE, MD 20721-2035
(240) 467-1932
Mailing address
1502 KINGSHILL ST, BOWIE, MD 20721-2035
(240) 467-1932
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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