Individual
HAYWOOD TANYI MBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7412 GEORGIA AVE NW, WASHINGTON, DC 20012-1754
(202) 291-6973
Mailing address
7412 GEORGIA AVE NW, WASHINGTON, DC 20012-1754
(202) 291-6973
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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