Individual
GENSINTA NDUM TIZEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 KENILWORTH AVE APT 302E, BLADENSBURG, MD 20710-2131
(240) 940-9918
Mailing address
3801 KENILWORTH AVE APT 302E, BLADENSBURG, MD 20710-2131
(240) 940-9918
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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