ALLEN JOSE TENGCO

LA PLATA, MD
NPI1437874831
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MD  R226614)
Enumeration Date2022-10-07
Last Update Date2023-01-27
Business Address
Mr. ALLEN JOSE TENGCO CRNP
5 GARRETT AVE
LA PLATA, MD 20646-5960
Phone number: 301-535-1715
Mailing Address
Mr. ALLEN JOSE TENGCO CRNP
3874 SHINER CT
WALDORF, MD 20603-7205
Phone number: 301-535-1715