Individual
TABOT ETTA EBINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8707 BARROW ST., APT 4, TAKOMA PARK, MD 20912
(240) 706-3348
(202) 241-2035
Mailing address
4120 HANSON OAKS DR, HYATTSVILLE, MD 20784-2316
(240) 706-3348
(202) 241-2035
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
E300785002797
MD
Other
Enumeration date
05/15/2012
Last updated
08/01/2024
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