Provider Demographics
NPI:1619547296
Name:STURGIS, TONDRILLE SHERIKA
Entity Type:Individual
Prefix:
First Name:TONDRILLE
Middle Name:SHERIKA
Last Name:STURGIS
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 1:107 CORAL REEF TER
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2977
Mailing Address - Country:US
Mailing Address - Phone:240-272-2537
Mailing Address - Fax:
Practice Address - Street 1:900 5TH ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4501
Practice Address - Country:US
Practice Address - Phone:202-705-5334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant