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NPI Code Detail

MEDICARE: MISS MARIE MIREILLE TJOMB

MEDICARE:  MISS MARIE MIREILLE TJOMB
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health AideWA

General Provider Information

NPI Number : 1831448075
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MARIE MIREILLE TJOMB
Provider Business Mailing Address
First Line : 3402 HEWITT AVE APT 104
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-5405
Country : US
Telephone Number : 240-640-9052
Fax Number :
Provider Business Practice Location Address
First Line : 3402 HEWITT AVE APT 104
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-5405
Country : US
Telephone Number : 240-640-9052
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2012
Last Update Date : 09/04/2012

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Directions to “ MISS MARIE MIREILLE TJOMB ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.