Individual
MS. NADEGE FANYI TAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
2600 QUEENS CHAPEL RD APT 204, HYATTSVILLE, MD 20782-3653
(240) 413-1997
Mailing address
2600 QUEENS CHAPEL RD APT 204, HYATTSVILLE, MD 20782-3653
(240) 413-1997
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12533
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA12533
BOARD OF NURSING
DC
Enumeration date
11/18/2016
Last updated
11/18/2016
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