Individual
MELVIS A TABE-EBOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6856 EASTERN AVE NW STE 320A, WASHINGTON, DC 20012-2112
(202) 541-9844
(202) 541-9845
Mailing address
9110 BRIARCHIP ST, LAUREL, MD 20708-1304
(240) 602-0591
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1052512
DC
164W00000X
Licensed Practical Nurse
LPN1005309
DC
Other
Enumeration date
02/25/2019
Last updated
07/27/2023
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