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Individual

SORIE NECKYAN TARAWALI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9789 GOOD LUCK RD APT 11, LANHAM, MD 20706-3343
(240) 595-8387
Mailing address
9789 GOOD LUCK RD APT 11, LANHAM, MD 20706-3343
(240) 595-8387

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
DC

Other

Enumeration date
04/05/2023
Last updated
04/05/2023
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