Individual
DESMOND TSI NDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3109 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-1573
(202) 400-4433
Mailing address
16324 ELKHORN LN, BOWIE, MD 20716-3267
(202) 716-9013
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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