Individual
MOUSTAPHA THIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4130 HUNT PL NE, WASHINGTON, DC 20019-3565
(202) 388-4300
(202) 388-4339
Mailing address
9203 TWIN HILL LN, LAUREL, MD 20708-2547
(202) 330-1670
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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