Individual
DR. LINEO KENEUOE THAHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-3730
Mailing address
PO BOX 37215, BALTIMORE, MD 21297-3215
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD040925
DC
Other
Enumeration date
07/23/2012
Last updated
11/27/2012
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