Individual
MAURICE AWAH TASSAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9407 MYRTLE AVE, BOWIE, MD 20720-3218
(240) 821-4814
Mailing address
9407 MYRTLE AVE, BOWIE, MD 20720-3218
(240) 821-4814
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14244
DC
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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