Individual
BELOFINE TAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1705 SHAMROCK AVE, CAPITOL HEIGHTS, MD 20743-5302
(240) 602-3594
Mailing address
1705 SHAMROCK AVE, CAPITOL HEIGHTS, MD 20743-5302
(240) 602-3594
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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