DIVINE TAKO EBAI

TAKOMA PARK, MD
NPI1467386656
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2026-06-11
Last Update Date2026-06-11
Business Address
DIVINE TAKO EBAI
614 ETHAN ALLEN AVE
TAKOMA PARK, MD 20912-5400
Phone number: 240-458-8832
Mailing Address
DIVINE TAKO EBAI
614 ETHAN ALLEN AVE
TAKOMA PARK, MD 20912-5400
Phone number: 240-458-8832