Most Relevant Information
Provider Data
| NPI Number: | 1003301334 |
| Provider Name: | CONSTANCE BOYUMA TANGHAM |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: | HHA13717 |
Most Important Dates
| Enumeration Date: | 06/28/2018 |
| Last Updated: | 06/28/2018 |
Provider Practice Location
1836 METZEROTT RD APT 1103
ADELPHI
MD
207833448
Practice Location Phone/Fax
| Phone: | 2404812263 |
| Fax: |
Provider Mailing Location
1836 METZEROTT RD APT 1103
ADELPHI
MD
207833448
Provider Mailing Phone/Fax
| Phone: | 2404812263 |
| Fax: |