Individual
GERTRUDE IMMACULEE TIADJEUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1804 MOUNT PISGAH LN APT 23, SILVER SPRING, MD 20903-2146
(202) 823-5949
Mailing address
1804 MOUNT PISGAH LN APT 23, SILVER SPRING, MD 20903-2146
(202) 823-5949
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14113
DC
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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