Individual
MR. NCHEM RUDOLF TAKOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(202) 894-6811
Mailing address
2101 WHITE FOX DR STE 323, BOWIE, MD 20721-2619
(202) 427-6357
(220) 723-3065
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
12/30/2011
Last updated
08/24/2023
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