Individual
INNOCENT TADEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6856 EASTERN AVE NW, #376D, WASHINGTON, DC 20012-2165
(202) 450-2124
Mailing address
6856 EASTERN AVE NW, #376D, WASHINGTON, DC 20012-2165
(202) 450-2124
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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