DIDACUS TAMAMBANG

HYATTSVILLE, MD
NPI1518410398
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
(Licence: WA  HHA12187)
Enumeration Date2016-07-28
Last Update Date2016-07-28
Business Address
-- DIDACUS TAMAMBANG
6811 W FOREST RD APT 103
HYATTSVILLE, MD 20785-3331
Phone number: 240-714-1211
Mailing Address
-- DIDACUS TAMAMBANG
6811 W FOREST RD APT 103
HYATTSVILLE, MD 20785-3331
Phone number: