Individual
MARYO LANDE TATCHIM DEMGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7777 MAPLE AVE APT 1211, TAKOMA PARK, MD 20912-5650
(202) 569-6806
Mailing address
7777 MAPLE AVE APT 1211, TAKOMA PARK, MD 20912-5650
(202) 569-6806
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA20210209
MD
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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