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Tyrelle Naqua White

Technician, Personal Care Attendant in Capitol Hgts, MD. Individual provider (NPI-1).

NPI number1669963005
StatusActive
Last updated in NPPESMay 22, 2018

Details

NPI
1669963005
Entity type
Individual (NPI-1)
Name
Tyrelle Naqua White
Sex
Male
Sole proprietor
No
Enumeration date
May 22, 2018
Last updated
May 22, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

6901 Drylog St
Capitol Hgts, MD 20743-2433

Phone 301-310-8899

Mailing address

6901 Drylog St
Capitol Hgts, MD 20743-2433

Phone 301-310-8899

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