Individual
TABOT BISONG AYUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5409 RIVERDALE RD APT B2, RIVERDALE, MD 20737-2369
(301) 467-0042
Mailing address
5409 RIVERDALE RD APT B2, RIVERDALE, MD 20737-2369
(301) 467-0042
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
DC
374U00000X
Home Health Aide
—
DC
Other
Enumeration date
08/21/2023
Last updated
05/27/2026
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