Individual
MILTON TANJONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11628 LOCKWOOD DR, SILVER SPRING, MD 20904-2330
(240) 550-2528
Mailing address
11628 LOCKWOOD DR, SILVER SPRING, MD 20904-2330
(240) 550-2528
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
374U00000X
MD
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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