Individual
DIAMOND MAXEBONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1629 K ST NW, SUITE 300, WASHINGTON, DC 20006-1602
(877) 693-2848
Mailing address
1629 K ST NW, SUITE 300, WASHINGTON, DC 20006-1602
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/15/2014
Last updated
11/15/2014
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