Individual
ERNESTINE A TAH EPSE TITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9787 GOOD LUCK RD APT 12, LANHAM, MD 20706-3342
(240) 396-7584
Mailing address
9787 GOOD LUCK RD APT 12, LANHAM, MD 20706-3342
(240) 396-7584
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13523
DC
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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