Individual
MOMGOH ROLAND TIFUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6554 PRINCESS GARDEN PKWY, LANHAM, MD 20706-3533
(240) 305-9701
Mailing address
6554 PRINCESS GARDEN PKWY, LANHAM, MD 20706-3533
(240) 305-9701
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
10/07/2024
Last updated
10/23/2024
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