Individual
BELIDUS GWEH BONEKEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11244 EVANS TRL, BELTSVILLE, MD 20705-3924
(240) 688-3647
Mailing address
11244 EVANS TRL, BELTSVILLE, MD 20705-3924
(240) 688-3647
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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