ASONGAFAC MABEH TAZANU

TAKOMA PARK, MD
NPI1376802124
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
(Licence: MD  T250072015858)
Enumeration Date2012-05-15
Last Update Date2012-05-15
Business Address
-- ASONGAFAC MABEH TAZANU
6735 NEW HAMPSHIRE AVE APT 1209
TAKOMA PARK, MD 20912-4865
Phone number: 240-701-4087
Mailing Address
-- ASONGAFAC MABEH TAZANU
6735 NEW HAMPSHIRE AVE APT 1209
TAKOMA PARK, MD 20912-4865
Phone number: 240-701-4087