Individual
CLETUS W TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6519 LANDOVER RD APT 201, CHEVERLY, MD 20785-1424
(240) 667-8239
Mailing address
6519 LANDOVER RD APT 201, CHEVERLY, MD 20785-1424
(240) 667-8239
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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