Individual
DAMION ASANJI TATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7763 RIVERDALE RD APT 203, NEW CARROLLTON, MD 20784-3927
(240) 893-5622
Mailing address
7763 RIVERDALE RD APT 203, NEW CARROLLTON, MD 20784-3927
(240) 893-5622
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/10/2025
Last updated
05/10/2025
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