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Individual

BELLO MAIGARI CHEW TIFANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6809 JADE CT, CAPITOL HEIGHTS, MD 20743-1862
(202) 375-4940
Mailing address
6809 JADE CT, CAPITOL HEIGHTS, MD 20743-1862

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14279
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HHA14279
DC
Enumeration date
02/07/2019
Last updated
02/07/2019
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