Individual
GANA RAYMOND TAMBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8807 BOVELDER DR, LAUREL, MD 20708-3524
(410) 504-3040
Mailing address
8807 BOVELDER DR, LAUREL, MD 20708-3524
(410) 504-3040
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
DC
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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