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Individual

EZEKIEL TACHAM AZEMAGAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4241 58TH AVE APT 10, BLADENSBURG, MD 20710-1934
(240) 467-0319
Mailing address
4241 58TH AVE APT 10, BLADENSBURG, MD 20710-1934
(240) 467-0319

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
HHA200005704
DC
374U00000X
Home Health Aide
Primary

Other

Enumeration date
12/03/2025
Last updated
02/25/2026
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