Individual
DENIS AJUANDEM TANGIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6417 COUNTRY CLUB CT, HYATTSVILLE, MD 20785-1703
(240) 425-5373
Mailing address
6417 COUNTRY CLUB CT, HYATTSVILLE, MD 20785-1703
(240) 425-5373
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200004657
DC
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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