Individual
BASILE TEUKAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11803 FLORA LN, BOWIE, MD 20721-1970
(617) 935-4935
Mailing address
11803 FLORA LN, BOWIE, MD 20721-1970
(617) 935-4935
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/09/2012
Last updated
10/27/2023
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