NPI 1871220723

Tamyka Green

Practitioner Meals Provider Washington, DC

Practice location

Address: 1100 L St SE 304, Washington, DC 20737
Phone: (202) 936-9656
Mailing address: 6159 64th Ave APT 6, Riverdale, MD 20737-2913

Registered specialties

Meals Provider Primary

Other Service Providers Taxonomy 174200000X Licence 009548027 (MD)

Other Meals providers in District of Columbia →

Registry record

NPI: 1871220723
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Aug 2022
Record last updated: 2 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.