Individual
KLUIVERT TEBO TEBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1220 12TH ST SE STE 350, WASHINGTON, DC 20003-3727
(202) 846-6830
Mailing address
13912 CASTLE BLVD APT 303, SILVER SPRING, MD 20904-4949
(240) 755-3404
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R261917
MD
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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