Individual
AMIDOU FOMBE TIKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1935 TURNBERRY CT # CY, FINKSBURG, MD 21048-1561
(240) 795-7543
Mailing address
1935 TURNBERRY CT # CY, FINKSBURG, MD 21048-1561
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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