Individual
MR. ALLEN JOSE TENGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
5 GARRETT AVE, LA PLATA, MD 20646-5960
(301) 535-1715
Mailing address
3874 SHINER CT, WALDORF, MD 20603-7205
(301) 535-1715
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R226614
MD
Other
Enumeration date
10/07/2022
Last updated
01/27/2023
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