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Tyika Bassagou, RPH

NPI 1285270504 · on the registry since 2019 · sole proprietor

Practice

Address
1815 Conn Ave Nw
Washington, DC 20009
Phone
(202) 332-1718
Fax
(202) 332-9033

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-11-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in District of Columbia