Individual
BERTILLA TANTOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 BRIGHTSEAT RD APT T1, HYATTSVILLE, MD 20785-3765
(240) 467-4423
Mailing address
1700 BRIGHTSEAT RD APT T1, HYATTSVILLE, MD 20785-3765
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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