Individual
TINSAE TEKLEAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
47149 BUSE RD BLDG 1370, PATUXENT RIVER, MD 20670-1540
(301) 342-1419
Mailing address
47149 BUSE RD BLDG 1370, PATUXENT RIVER, MD 20670-1540
(301) 342-1419
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
09/16/2024
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