Individual
JUDITH AMUTENG TAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13822 NORTHCREST RD, HAGERSTOWN, MD 21742-2447
(301) 326-7858
Mailing address
13822 NORTHCREST RD, HAGERSTOWN, MD 21742-2447
(301) 326-7858
(540) 683-8988
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
5000389048
MD
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/17/2019
Last updated
11/06/2020
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