Individual
GENESIS ADE TAMITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2508 BROOKE GROVE RD, BOWIE, MD 20721-1885
(240) 795-7583
Mailing address
2508 BROOKE GROVE RD, BOWIE, MD 20721-1885
(240) 795-7583
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200004540
DC
Other
Enumeration date
05/22/2025
Last updated
07/21/2025
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