Individual
ZEPHANIAH TITA TAKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7005 E RIDGE DR, HYATTSVILLE, MD 20785-4913
(240) 729-0491
Mailing address
7005 E RIDGE DR, HYATTSVILLE, MD 20785-4913
(240) 877-8478
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/09/2024
Last updated
11/09/2024
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