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1114798022
BLANCH TANIFORM MANJOH
SPRINGDALE, MD
NPI
1114798022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
374U00000X Home Health Aide
Enumeration Date
2024-01-10
Last Update Date
2024-10-10
Business Address
BLANCH TANIFORM MANJOH
9505 HOBART ST
SPRINGDALE, MD 20774-5444
Phone number: 901-453-5870
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Mailing Address
BLANCH TANIFORM MANJOH
9505 HOBART ST
SPRINGDALE, MD 20774-5444
Phone number: 901-453-5870
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