Individual
ASONGAFAC MABEH TAZANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6735 NEW HAMPSHIRE AVE, APT 1209, TAKOMA PARK, MD 20912-4865
(240) 701-4087
Mailing address
6735 NEW HAMPSHIRE AVE, APT 1209, TAKOMA PARK, MD 20912-4865
(240) 701-4087
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
T250072015858
MD
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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