Individual
MR. PATHKONN KOMBATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12702 CHERRYWOOD LN, BOWIE, MD 20715-1642
(217) 331-8401
Mailing address
12702 CHERRYWOOD LN, BOWIE, MD 20715-1642
(217) 331-8401
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
07/27/2023
Last updated
09/21/2023
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