Individual
GERALD MAXIMUANGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RSS MBI
Contact information
Practice address
1221 TAYLOR ST NW, WASHINGTON, DC 20011-5617
(202) 464-9200
(202) 291-2160
Mailing address
7702 GARRISON RD, HYATTSVILLE, MD 20784-1727
(240) 602-8158
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/28/2012
Last updated
06/15/2023
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