Individual
MIRABEL TAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3508 NEWTON PL, MOUNT RAINIER, MD 20712-2118
(240) 264-9697
Mailing address
3508 NEWTON PL, MOUNT RAINIER, MD 20712-2118
(240) 264-9697
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA20004145
DC
Other
Enumeration date
05/12/2025
Last updated
05/14/2025
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