Individual
SAMSON SANUSIAGBABIAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4017 MINNESOTA AVE NE, WASHINGTON, DC 20019-3541
(202) 388-9202
(202) 388-9209
Mailing address
15609 BIRCH RUN TER, LAUREL, MD 20707-3583
(347) 299-3485
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
01/16/2024
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