Individual
MUBONGO PRIESTLY KWATI AYONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1403 WHOOPING CT, UPPER MARLBORO, MD 20774-7086
(202) 459-3794
Mailing address
1403 WHOOPING CT, UPPER MARLBORO, MD 20774-7086
(202) 459-3794
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/28/2022
Last updated
10/15/2024
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