Individual
ANNIZETTE MUENGUM TIKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 GREENWICH WOOD DR, SILVER SPRING, MD 20903-2104
(405) 421-3444
Mailing address
1801 GREENWICH WOOD DR, SILVER SPRING, MD 20903-2104
(405) 421-3444
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13688
DC
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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