Individual
FASTINA TOH IJANG EPSE TENDOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11513 CANTERBURY CT, BOWIE, MD 20721-2281
(301) 850-8537
Mailing address
11513 CANTERBURY CT, BOWIE, MD 20721-2281
(301) 850-8537
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
08/22/2025
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