Individual
BELLA JAVIS TANDUNGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14110 KYDAN CT, BRANDYWINE, MD 20613-6124
(240) 437-8675
Mailing address
14110 KYDAN CT, BRANDYWINE, MD 20613-6124
(240) 437-8675
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA20005499
DC
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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