Jecika Enyoh Tibah Valid NPI
Individual provider · Registered Nurse · Upper Marlboro, MD
- NPI
- 1306514211
- Type
- Individual (Type 1)
- Primary specialty
- Registered Nurse
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 163W00000X
- License number
- RN500125701 (DC)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2021-09-03
- Last updated
- 2025-07-07
Practice location
303 Herrington Dr
Upper Marlboro, MD 20774-1511
(240) 487-8245