Most Relevant Information
Provider Data
| NPI Number: | 1003668237 |
| Provider Name: | TCHADELE MARTINELLE TSAMO NDJITSA |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/02/2024 |
| Last Updated: | 04/02/2024 |
Provider Practice Location
11804 CHANTILLY LN
BOWIE
MD
207212131
Practice Location Phone/Fax
| Phone: | 2408547052 |
| Fax: |
Provider Mailing Location
11804 CHANTILLY LN
BOWIE
MD
207212131
Provider Mailing Phone/Fax
| Phone: | 2408547052 |
| Fax: |