Individual
NICODEMUS TABE EGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14167 CASTLE BLVD APT 104, SILVER SPRING, MD 20904-4776
(240) 755-2592
Mailing address
14167 CASTLE BLVD APT 104, SILVER SPRING, MD 20904-4776
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/14/2012
Last updated
10/03/2012
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