Individual
AYUKMANYI TANYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9751 GOOD LUCK RD, APT. #6, LANHAM, MD 20706-3349
(240) 714-0897
Mailing address
9751 GOOD LUCK RD, APT. #6, LANHAM, MD 20706-3349
(240) 714-0897
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12436
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA12436
HOME HEALTH AIDE CERTIFICATE
DC
Enumeration date
10/11/2016
Last updated
10/11/2016
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