Individual
COMFORT ETAH TAKANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2512 24TH ST NE, WASHINGTON, DC 20018-2126
(202) 832-8340
(202) 832-8341
Mailing address
7826 EASTERN AVE NW, LL18A, WASHINGTON, DC 20012-1324
(202) 722-7776
(202) 722-7785
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1006870
DC
Other
Enumeration date
06/14/2012
Last updated
10/23/2020
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