Individual
ULRICH CHANDELLE LEUFFA TIAGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 PENNSYLVENIA AVE, SE, DC 20020-3865
(202) 894-6811
Mailing address
7827 RIVERDALE RD APT T3, NEW CARROLLTON, MD 20784-4012
(301) 793-1712
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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