Individual
JUDITH-BELLE TIFUH ENOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3311 75TH AVE APT 205, LANDOVER, MD 20785-1509
(240) 422-2054
Mailing address
3211 75TH AVE APT 205, LANDOVER, MD 20785-1932
(240) 422-2054
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00159924
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A00159924
ACTIVE
MD
Enumeration date
09/17/2020
Last updated
09/24/2020
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