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1518410398
DIDACUS TAMAMBANG
HYATTSVILLE, MD
NPI
1518410398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: WA HHA12187)
Enumeration Date
2016-07-28
Last Update Date
2016-07-28
Business Address
-- DIDACUS TAMAMBANG
6811 W FOREST RD APT 103
HYATTSVILLE, MD 20785-3331
Phone number: 240-714-1211
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Mailing Address
-- DIDACUS TAMAMBANG
6811 W FOREST RD APT 103
HYATTSVILLE, MD 20785-3331
Phone number:
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