Individual
NYETO TIKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 OAKLEY RD, GLENN DALE, MD 20769-9436
(240) 413-9268
Mailing address
1818 NEW YORK AVE NE STE 207, WASHINGTON, DC 20002-1849
(202) 516-5737
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
04/14/2023
Last updated
07/25/2023
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