Individual
MARY A TANGOALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3827 64TH AVE, APT 101, HYATTSVILLE, MD 20784-1834
(240) 565-9819
Mailing address
3827 64TH AVE, APT 101, HYATTSVILLE, MD 20784-1834
(240) 565-9819
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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