Individual
MELODIA TIFANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11748 S LAUREL DR APT 1C, LAUREL, MD 20708-2956
(701) 739-9253
Mailing address
11748 S LAUREL DR APT 1C, LAUREL, MD 20708-2956
(701) 739-9253
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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