Taha Bourgo
NPI #1972931285 in Princess Anne, Maryland
Provider Information
- NPI Number
- 1972931285
- Entity Type
- Individual
- Name
- Taha Bourgo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Taxi
- Enumeration Date
- Oct 23, 2013
- Last Updated
- Oct 23, 2013
Practice Location
- Address
- 12450 INDEPENDENCE CT APT A5
- City
- Princess Anne
- State
- Maryland
- ZIP Code
- 21853-3022
- Phone
- (443) 722-2111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Taxi |
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