Individual
TUMKEZEE DIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 SAINT PAUL ST, BALTIMORE, MD 21202-6226
(442) 515-8228
Mailing address
1720 SAINT PAUL ST APT 2, BALTIMORE, MD 21202-2852
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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