Individual
PRUDENCIA TIKU TAKANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 GEORGIA AVE NW, SUITE 323, WASHINGTON, DC 20012-1616
(202) 723-3060
(202) 723-3065
Mailing address
7600 GEORGIA AVE NW, SUITE 323, WASHINGTON, DC 20012-1616
(202) 723-3060
(202) 723-3065
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
12/30/2011
Last updated
11/14/2023
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