Individual
IDA TIFUH CHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13817 CASTLE BLVD APT 24, SILVER SPRING, MD 20904-7336
(240) 429-2996
Mailing address
13817 CASTLE BLVD APT 24, SILVER SPRING, MD 20904-7336
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11485
DC
Other
Enumeration date
12/10/2015
Last updated
02/09/2026
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