Individual
CLOVICE TEZANU MBECHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6301 HARDWOOD DR, LANHAM, MD 20706-2858
(202) 940-3606
Mailing address
6301 HARDWOOD DR, LANHAM, MD 20706-2858
(202) 940-3606
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
A00197993
MD
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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