Individual
PETER BAH JUNIOR TAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 NEW YORK AVE NE, WASHINGTON, DC 20002-1848
(202) 516-2737
Mailing address
2600 BRYAN PL SE, WASHINGTON, DC 20020-4417
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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