Individual
LADI TIKU FRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2508 BROOKE GROVE RD, BOWIE, MD 20721-1885
(651) 447-0757
Mailing address
2508 BROOKE GROVE RD, BOWIE, MD 20721-1885
(651) 447-0757
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
10/31/2025
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