Individual
DOROTHY TEBONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9793 GOOD LUCK RD APT 10, LANHAM, MD 20706-3345
(240) 241-2782
Mailing address
9885 GOOD LUCK RD, LANHAM, MD 20706-3216
(240) 241-2782
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA15743
DC
Other
Enumeration date
01/20/2021
Last updated
07/15/2021
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