Ulrich Chandelle Leuffa Tiagam
NPI #1598442527 in SE, District of Columbia
Provider Information
- NPI Number
- 1598442527
- Entity Type
- Individual
- Name
- Ulrich Chandelle Leuffa Tiagam
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 30, 2023
- Last Updated
- Jun 30, 2023
Practice Location
- Address
- 2811 PENNSYLVENIA AVE
- City
- SE
- State
- District of Columbia
- ZIP Code
- 20020-3865
- Phone
- (202) 894-6811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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