Individual
MR. BRIDGWATER TAANGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
11700 OLD COLUMBIA PIKE, APT 604, SILVER SPRING, MD 20904-2579
(240) 640-1512
Mailing address
11700 OLD COLUMBIA PIKE, APT 604, SILVER SPRING, MD 20904-2579
(240) 640-1512
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA9055
DC
Other
Enumeration date
11/10/2013
Last updated
11/10/2013
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