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NPI Code Detail

MEDICARE: BRIGHT IZUNWANNE TOH

MEDICARE: BRIGHT IZUNWANNE TOH
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 Aide

General Provider Information

NPI Number : 1770467383
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIGHT IZUNWANNE TOH
Provider Business Mailing Address
First Line : 184 JOYCETON TER
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-1480
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 702 15TH ST NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20002-4508
Country : US
Telephone Number : 202-388-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2025
Last Update Date : 03/09/2026

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Directions to “ BRIGHT IZUNWANNE TOH ” Practice Location

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