Individual
IVAN TEJAN KABIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4660 MARTIN LUTHER KING JR AVE SW STE A13, WASHINGTON, DC 20032-4880
(240) 906-9933
Mailing address
11302 BROKEN BOW CT, BELTSVILLE, MD 20705-1437
(240) 906-9933
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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