Most Relevant Information
Provider Data
| NPI Number: | 1003468992 |
| Provider Name: | FASIKA B TARIKU |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/11/2019 |
| Last Updated: | 07/11/2019 |
Provider Practice Location
7826 EASTERN AVE NW STE 400
WASHINGTON
DC
200121316
Practice Location Phone/Fax
| Phone: | 2025450160 |
| Fax: |
Provider Mailing Location
14930 ATHEY RD
BURTONSVILLE
MD
208661604
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |