Individual
IVO TEBOH MBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2510 STANDIFER PL, LANHAM, MD 20706-2678
(575) 291-6193
Mailing address
2510 STANDIFER PL, LANHAM, MD 20706-2678
(575) 291-6193
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/27/2025
Last updated
09/27/2025
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