Individual
BRANRIS TONGZOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8709 PLYMOUTH ST, APT. 4, SILVER SPRING, MD 20901-4051
(240) 354-1681
Mailing address
8709 PLYMOUTH ST, APT. 4, SILVER SPRING, MD 20901-4051
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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