Individual
GILBERT TELLA TAGNE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2234 S ST SE APT 2, WASHINGTON, DC 20020-4503
(202) 308-9088
Mailing address
1101 IVY CLUB LN, HYATTSVILLE, MD 20785-4508
(240) 413-9466
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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