Individual
BLASIUS EYONG TEZOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 EASTERN AVE APT 1, MOUNT RAINIER, MD 20712-1401
(202) 569-0010
Mailing address
4201 EASTERN AVE APT 1, MOUNT RAINIER, MD 20712-1401
(202) 569-0010
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA10466
DC
Other
Enumeration date
07/12/2014
Last updated
07/12/2014
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