SearchMaryland3747P1801X

Tawanna Anderson

NPI 1174026462 · on the registry since 2018 · sole proprietor

Practice

Address
1108 Kayak Ave
Capitol Heights, MD 20743
Phone
(202) 480-6444

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Also registered as
374U00000X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland