Individual
MRS. EDITH CHARLIE B TATANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2512 24TH ST NE, WASHINGTON, DC 20018-2126
(202) 291-6973
Mailing address
790 FAIRVIEW AVE APT 413, TAKOMA PARK, MD 20912-5958
(240) 705-0959
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA4387
DC
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/28/2012
Last updated
01/31/2025
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