Provider Demographics
NPI:1043784374
Name:CONTEE, TARAY J
Entity Type:Individual
Prefix:MISS
First Name:TARAY
Middle Name:J
Last Name:CONTEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4098 WARNER AVE # A2
Mailing Address - Street 2:
Mailing Address - City:LANDOVER HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20784-1902
Mailing Address - Country:US
Mailing Address - Phone:202-580-1865
Mailing Address - Fax:
Practice Address - Street 1:4098 WARNER AVE # A2
Practice Address - Street 2:
Practice Address - City:LANDOVER HILLS
Practice Address - State:MD
Practice Address - Zip Code:20784-1902
Practice Address - Country:US
Practice Address - Phone:202-580-1865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-21
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant