Provider Demographics
NPI:1932796083
Name:TANIFOR, MARIE ARINGU (CNA)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:ARINGU
Last Name:TANIFOR
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3207 HEWITT AVE APT 204
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-4971
Mailing Address - Country:US
Mailing Address - Phone:619-408-2466
Mailing Address - Fax:
Practice Address - Street 1:3207 HEWITT AVE APT 204
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-4971
Practice Address - Country:US
Practice Address - Phone:619-408-2466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health