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NPI Code Detail

MEDICARE: NJECK OTANCE TIKU

MEDICARE:   NJECK OTANCE TIKU
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 AideDC

General Provider Information

NPI Number : 1386595874
Entity Type Code : Individual
Provider Name (Legal Business Name) : NJECK OTANCE TIKU
Provider Business Mailing Address
First Line : 5118 FLINTRIDGE DR
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20784-1502
Country : US
Telephone Number : 240-879-6949
Fax Number :
Provider Business Practice Location Address
First Line : 5118 FLINTRIDGE DR
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20784-1502
Country : US
Telephone Number : 240-879-6949
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ NJECK OTANCE TIKU ” Practice Location

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