Individual
SIMON KUBONG TAMUKONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9801 OXBRIDGE WAY, BOWIE, MD 20721-3095
(240) 578-2278
Mailing address
9801 OXBRIDGE WAY, BOWIE, MD 20721-3095
(240) 758-2278
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/24/2012
Last updated
03/27/2026
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