Individual
TAMBE TANGIRI DIVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9643 MUIRKIRK RD APT A162, LAUREL, MD 20708-2601
(202) 390-6765
Mailing address
9643 MUIRKIRK RD APT A162, LAUREL, MD 20708-2601
(202) 390-6765
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
09/02/2022
Last updated
01/03/2024
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