Individual
GUY R TEVIBENISSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7713 CARROLL AVE APT 3, TAKOMA PARK, MD 20912-7773
(202) 705-3589
Mailing address
7713 CARROLL AVE APT 3, TAKOMA PARK, MD 20912-7773
(202) 705-3589
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
06/14/2012
Last updated
03/14/2018
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