Individual
JOVIA TUGUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8160 WASHINGTON BLVD APT 445, JESSUP, MD 20794-8801
(919) 771-7586
Mailing address
8160 WASHINGTON BLVD APT 445, JESSUP, MD 20794-8801
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T-250444646658
—
MD
Enumeration date
02/22/2023
Last updated
02/22/2023
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