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1053834366
TIRUWORK T FANTAYE
SILVER SPRING, MD
NPI
1053834366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Additional Taxonomies
251E00000X Home Health
Enumeration Date
2017-07-18
Last Update Date
2022-07-21
Business Address
TIRUWORK T FANTAYE
3348 CASTLE RIDGE CIR
SILVER SPRING, MD 20904-7321
Phone number: 301-237-6805
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Mailing Address
TIRUWORK T FANTAYE
3348 CASTLE RIDGE CIR
SILVER SPRING, MD 20904-7321
Phone number: 301-237-6805
Copy
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