Individual
QUANKIKANG TINDZEM ANNA EPSE DINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 BRYAN PL SE, WASHINGTON, DC 20020-4417
(240) 688-3647
Mailing address
9502 WASHINGTON BLVD, LANHAM, MD 20706-4031
(704) 550-8549
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN200002629
DC
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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