TIDA HEALTHCARE LLC

CROFTON, MD
NPI1902549728
Entity TypeOrganization
Authorized ContactIDA KONCHOU
CEO
443-570-7610
Organization Subpart ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date2022-04-19
Last Update Date2022-06-02
Business Address
TIDA HEALTHCARE LLC
2209 MONTAUK DR
CROFTON, MD 21114-3245
Phone number: 443-570-7610
Mailing Address
TIDA HEALTHCARE LLC
2209 MONTAUK DR
CROFTON, MD 21114-3245
Phone number: 443-570-7610
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