Individual
ANITA TARH MFORMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
14101 FALL ACRE CT APT 4, SILVER SPRING, MD 20906-6191
(202) 378-0513
Mailing address
14101 FALL ACRE CT APT 4, SILVER SPRING, MD 20906-6191
(202) 378-0513
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
103253
DC
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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