Individual
THERESE AMBANG ATANGA EPSE TAWAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13108 JORDANS ENDEAVOR DR, BOWIE, MD 20720-3393
(240) 596-9651
Mailing address
13108 JORDANS ENDEAVOR DR, BOWIE, MD 20720-3393
(240) 596-9651
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
DC
374U00000X
Home Health Aide
HHA15154
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15154
—
DC
Enumeration date
05/26/2020
Last updated
06/13/2023
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