HERMANN JUMBAM TATA

LAUREL, MD
NPI1396574976
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-07-31
Last Update Date2024-07-31
Business Address
HERMANN JUMBAM TATA
14007 BRAMBLE LN APT 202
LAUREL, MD 20708-1283
Phone number: 240-923-4470
Mailing Address
HERMANN JUMBAM TATA
14007 BRAMBLE LN APT 202
LAUREL, MD 20708-1283
Phone number: 240-923-4470