Individual
TABEETHA GUILLAUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7705 HILLENDALE RD APT G, PARKVILLE, MD 21234-6062
(631) 662-4620
Mailing address
7705 HILLENDALE RD APT G, PARKVILLE, MD 21234-6062
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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