Individual
KUSI OPPONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3420 CORMORANT DR, LAUREL, MD 20724-1319
(202) 492-8980
Mailing address
3420 CORMORANT DR, LAUREL, MD 20724-1319
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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