Individual
KING AWENATE KHAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 GREENCASTLE RIDGE DR APT 401, BURTONSVILLE, MD 20866-2185
(301) 278-6501
Mailing address
3900 GREENCASTLE RIDGE DR APT 401, BURTONSVILLE, MD 20866-2185
(301) 278-6501
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
07/26/2023
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