Provider Demographics
NPI:1558141358
Name:TAMUFOR, ELLA
Entity Type:Individual
Prefix:
First Name:ELLA
Middle Name:
Last Name:TAMUFOR
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 1:1 COMFORT LN STE 303
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-7296
Mailing Address - Country:US
Mailing Address - Phone:571-505-2371
Mailing Address - Fax:
Practice Address - Street 1:1 COMFORT LN STE 303
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-7296
Practice Address - Country:US
Practice Address - Phone:571-505-2371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health