STEPHEN AZEH TANJANG

SPRINGDALE, MD
NPI1104178466
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: DC  lpn1005996)
Additional Taxonomies374U00000X Home Health Aide
Enumeration Date2012-10-11
Last Update Date2012-10-11
Business Address
-- STEPHEN AZEH TANJANG
9216 HOBART ST
SPRINGDALE, MD 20774-5409
Phone number: 240-505-0787
Mailing Address
-- STEPHEN AZEH TANJANG
9216 HOBART ST
SPRINGDALE, MD 20774-5409
Phone number: 240-505-0787
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