Individual
CLARA TATAW TAKEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7767 RIVERDALE RD APT T3, NEW CARROLLTON, MD 20784-3929
(240) 615-6872
Mailing address
7767 RIVERDALE RD APT T3, NEW CARROLLTON, MD 20784-3929
(240) 615-6872
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13211
DC
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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