Individual
JUDE TIMAH TATABOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1802 VERNON ST NW # 1022, WASHINGTON, DC 20009-1217
(508) 345-0973
Mailing address
1802 VERNON ST NW # 1022, WASHINGTON, DC 20009-1217
(508) 345-0973
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1046789
DC
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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