Most Relevant Information
Provider Data
| NPI Number: | 1003213935 |
| Provider Name: | THEOPHILUS TAKO |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN1029696 |
Most Important Dates
| Enumeration Date: | 11/20/2014 |
| Last Updated: | 11/20/2014 |
Provider Practice Location
7600 GEORGIA AVE NW
WASHINGTON
DC
200121616
Practice Location Phone/Fax
| Phone: | 2027233060 |
| Fax: | 2027233065 |
Provider Mailing Location
7600 GEORGIA AVE NW
WASHINGTON
DC
200121616
Provider Mailing Phone/Fax
| Phone: | 2027233060 |
| Fax: | 2027233065 |