Individual
EZEKIEL KOOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 PICKERING CT APT 1, GERMANTOWN, MD 20874-3871
(301) 658-4626
Mailing address
3 PICKERING CT APT 1, GERMANTOWN, MD 20874-3871
(301) 658-4626
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
10275422705
MD
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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