Individual
SAMUEL KEKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7104 HIGH BRIDGE RD, BOWIE, MD 20720-5238
(240) 886-4721
Mailing address
7104 HIGH BRIDGE RD, BOWIE, MD 20720-5238
(240) 886-4721
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MD
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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