Individual
TEBOH RENUS NDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
100 M ST SE STE 600, WASHINGTON, DC 20003-3648
(301) 613-2064
Mailing address
60 HAWAII AVE NE APT 108, WASHINGTON, DC 20011-4937
(267) 366-4622
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200005754
DC
376K00000X
Nurse's Aide
Primary
HHA200005754
DC
Other
Enumeration date
01/16/2026
Last updated
04/26/2026
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