Individual
COURAGE MENGWI TANUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6811 W FOREST RD APT 103, HYATTSVILLE, MD 20785-3331
(240) 467-4729
Mailing address
6811 W FOREST RD APT 103, HYATTSVILLE, MD 20785-3331
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13277
DC
Other
Enumeration date
11/21/2017
Last updated
10/15/2024
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