Clovis Tegabone
Clovis Tegabone is a Home Health Aide in Lanham, Maryland. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
9120 Crandall RdLanham, MD 20706-1929
Phone: (307) 851-9357
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Home Health Aide | Taxonomy 374U00000X |
Record details
| NPI number | 1992457618 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 24, 2022 |
| Last updated in NPPES | August 7, 2024 |
| Certification date | August 7, 2024 |
| Mailing address | 9120 Crandall Rd, Lanham, MD 20706-1929 |
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Kelsy Teko
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