Provider Demographics
NPI:1336801604
Name:TANDAP, JULIETE
Entity Type:Individual
Prefix:
First Name:JULIETE
Middle Name:
Last Name:TANDAP
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 1:9116 SCOTT ADAM CT
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-1044
Mailing Address - Country:US
Mailing Address - Phone:443-600-8625
Mailing Address - Fax:
Practice Address - Street 1:9116 SCOTT ADAM CT
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-1044
Practice Address - Country:US
Practice Address - Phone:443-600-8625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide