Individual
BLAISE TEKUH ABANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14729 4TH ST UNIT 228, LAUREL, MD 20707-4024
(202) 940-3605
Mailing address
14729 4TH ST UNIT 228, LAUREL, MD 20707-4024
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
A00199186
MD
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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