MEDICARE: SHARON MANKA TAMASANG

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
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1962393207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON MANKA TAMASANG

Provider Business Mailing Address
First Line	:	5000 FORT TOTTEN DR NE APT 103
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-7541
Country	:	US
Telephone Number	:	202-345-3046
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 FORT TOTTEN DR NE APT 103
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-7541
Country	:	US
Telephone Number	:	202-345-3046
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2025
Last Update Date	:	07/14/2025

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Directions to “ SHARON MANKA TAMASANG ” Practice Location

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