Provider Demographics
NPI:1033940077
Name:TITALANGA, QUINTA BELLA N
Entity type:Individual
Prefix:
First Name:QUINTA BELLA
Middle Name:N
Last Name:TITALANGA
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 1:9921 GREENBELT RD APT T2
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2248
Mailing Address - Country:US
Mailing Address - Phone:301-454-9489
Mailing Address - Fax:
Practice Address - Street 1:9921 GREENBELT RD APT T2
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2248
Practice Address - Country:US
Practice Address - Phone:301-454-9489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide