Individual
KEM BUMBARA GERALD TIFANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7600 GEORGIA AVE NW STE 323, WASHINGTON, DC 20012-1616
(202) 723-3060
Mailing address
1615 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-1802
(202) 301-5200
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/15/2017
Last updated
06/15/2023
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