Individual
DENIS TEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6903 GOOD LUCK RD, NEW CARROLLTON, MD 20784-3620
(240) 413-1393
Mailing address
6903 GOOD LUCK RD, NEW CARROLLTON, MD 20784-3620
(240) 413-1393
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA15706
DC
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034070374
—
DC
05
—
276987399
—
DC
Enumeration date
09/10/2020
Last updated
02/09/2026
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