Blaise Tekuh Abang
Home Health Aide in Laurel, MD. Individual provider (NPI-1).
NPI number1457006967
StatusActive
Last updated in NPPESFeb 14, 2022
Details
- NPI
- 1457006967
- Entity type
- Individual (NPI-1)
- Name
- Blaise Tekuh Abang
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 14, 2022
- Certification date
- Feb 14, 2022
- Last updated
- Feb 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | A00199186 | MD | Yes |
Practice location
14729 4th St Unit 228Laurel, MD 20707-4024
Phone 202-940-3605
Mailing address
14729 4th St Unit 228Laurel, MD 20707-4024
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